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27475 Ferry Road Warrenville IL 60555 | |
| (630) 204-5591 | |
| (630) 524-9176 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 27475 Ferry Road, Warrenville, Illinois |
| Authorized Official Name and Position | Linda A Defrancisco (OWNER) |
| Authorized Official Contact | 6302045591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2215 Forest Ridge Road St. Charles IL 60174 Ph: (630) 204-5591 | 27475 Ferry Road Warrenville IL 60555 Ph: (630) 204-5591 |
| NPI Number | 1508015983 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508015983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-005153 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180005153 (Illinois) | Primary |
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