| Lake Barrington Professional Services | |
|
5067 Shoreline Rd Lake Barrington IL 60010-1700 | |
| (847) 842-0012 | |
| (847) 842-0013 |
| Full Name | Lake Barrington Professional Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5067 Shoreline Rd, Lake Barrington, Illinois |
| Authorized Official Name and Position | Julie T Consolo (DIRECTOR) |
| Authorized Official Contact | 8478420012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Barrington Professional Services 5067 Shoreline Rd Lake Barrington IL 60010-1700 Ph: (847) 842-0012 | Lake Barrington Professional Services 5067 Shoreline Rd Lake Barrington IL 60010-1700 Ph: (847) 842-0012 |
| NPI Number | 1194900050 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194900050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Northwest Neurology, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22285 Pepper Rd, #401, Lake Barrington, IL 60010 Phone: 847-882-6604 Fax: 847-882-6228 |