| Legacy Clinical Consultants | |
|
3033 Ogden Ave Suite 210 Lisle IL 60532-1673 | |
| (630) 527-1664 | |
| Not Available |
| Full Name | Legacy Clinical Consultants |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3033 Ogden Ave, Lisle, Illinois |
| Authorized Official Name and Position | Anne Frentzos (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 6305271664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Clinical Consultants 3033 Ogden Ave Suite 210 Lisle IL 60532-1673 Ph: () - | Legacy Clinical Consultants 3033 Ogden Ave Suite 210 Lisle IL 60532-1673 Ph: (630) 527-1664 |
| NPI Number | 1497823900 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497823900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
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