| Lifecore Sc | |
|
106 Stephen St Ll4 Lemont IL 60439-3674 | |
| (630) 243-0145 | |
| (630) 257-0854 |
| Full Name | Lifecore Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 106 Stephen St, Lemont, Illinois |
| Authorized Official Name and Position | Cheryl Beadle (PRESIDENT) |
| Authorized Official Contact | 6302430145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecore Sc 14234 S Bell Rd #137 Homer Glen IL 60491-8122 Ph: (630) 243-0145 | Lifecore Sc 106 Stephen St Ll4 Lemont IL 60439-3674 Ph: (630) 243-0145 |
| NPI Number | 1356395396 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356395396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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