| Laynie Foundation | |
|
4749 Lincoln Mall Dr Suite 202 Matteson IL 60443-2348 | |
| (312) 929-6860 | |
| (219) 558-0271 |
| Full Name | Laynie Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4749 Lincoln Mall Dr, Matteson, Illinois |
| Authorized Official Name and Position | Summer Matheson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3129296860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laynie Foundation 4749 Lincoln Mall Dr Suite 202 Matteson IL 60443-2348 Ph: (312) 929-6860 | Laynie Foundation 4749 Lincoln Mall Dr Suite 202 Matteson IL 60443-2348 Ph: (312) 929-6860 |
| NPI Number | 1790076628 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790076628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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