Love's Park | |
7200 Clinton Rd Loves Park IL 61111-3806 | |
(815) 962-8333 | |
Not Available |
Full Name | Love's Park |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7200 Clinton Rd, Loves Park, Illinois |
Authorized Official Name and Position | William Nelson (CEO) |
Authorized Official Contact | 3093442323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Love's Park 7200 Clinton Rd Loves Park IL 61111-3806 Ph: (815) 962-8333 | Love's Park 7200 Clinton Rd Loves Park IL 61111-3806 Ph: (815) 962-8333 |
NPI Number | 1235626326 |
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Provider Enumeration Date | 04/16/2018 |
Last Update Date | 04/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235626326 | NPI | - | NPPES |
655360 | Other | IL | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
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