| Libertyville Insight & Behavioral Center | |
|
709 N Milwaukee Ave Libertyville IL 60048-1913 | |
| (847) 400-6204 | |
| (847) 327-1592 |
| Full Name | Libertyville Insight & Behavioral Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 709 N Milwaukee Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Kimberly A Kick (OWNER) |
| Authorized Official Contact | 8474006204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertyville Insight & Behavioral Center 709 N Milwaukee Ave Libertyville IL 60048-1913 Ph: (847) 400-6204 | Libertyville Insight & Behavioral Center 709 N Milwaukee Ave Libertyville IL 60048-1913 Ph: (847) 400-6204 |
| NPI Number | 1871938753 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871938753 | NPI | - | NPPES |
| IL1548 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149-005107 (Illinois) | Secondary |
| 251S00000X | Community/behavioral Health | 060011046 (Illinois) | Primary |
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