| Livin Vip Pllc | |
|
7448 Sycamore Ct Apt 1sw Orland Park IL 60462-8814 | |
| (309) 370-7780 | |
| Not Available |
| Full Name | Livin Vip Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7448 Sycamore Ct Apt 1sw, Orland Park, Illinois |
| Authorized Official Name and Position | Daniel B Santangelo (OWNER) |
| Authorized Official Contact | 3093707780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livin Vip Pllc 7448 Sycamore Ct Apt 1sw Orland Park IL 60462-8814 Ph: (309) 370-7780 | Livin Vip Pllc 7448 Sycamore Ct Apt 1sw Orland Park IL 60462-8814 Ph: (309) 370-7780 |
| NPI Number | 1033930052 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033930052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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