| Loyola University School Of Nursing - School-based Health Center | |
|
807 South First Avenue School-based Health Center At Proviso East High School Maywood IL 60153 | |
| (708) 449-9522 | |
| (708) 449-9525 |
| Full Name | Loyola University School Of Nursing - School-based Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 807 South First Avenue, Maywood, Illinois |
| Authorized Official Name and Position | Diana P. Hackbarth (PROJECT DIRECTOR: LOYOLA UNIVERSITY) |
| Authorized Official Contact | 7082163670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loyola University School Of Nursing - School-based Health Center 2160 South First Avenue Maguire - 105-2840 Maywood IL 60153 Ph: (708) 449-9522 | Loyola University School Of Nursing - School-based Health Center 807 South First Avenue School-based Health Center At Proviso East High School Maywood IL 60153 Ph: (708) 449-9522 |
| NPI Number | 1558690628 |
|---|---|
| Provider Enumeration Date | 12/18/2009 |
| Last Update Date | 12/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558690628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Proviso Leyden Council For Community Action, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison W St, Maywood, IL 60153 Phone: 708-450-3500 | |
Way Back Inn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Oak St., Maywood, IL 60153 Phone: 708-344-3301 Fax: 708-344-2944 | |
Plcca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-236-5042 | |
Procare Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 6th Ave, Maywood, IL 60153 Phone: 708-681-2324 Fax: 708-345-5496 | |
Enhanced Clinical Solutions, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 S 1st Ave, Suite# 310, Maywood, IL 60153 Phone: 708-344-0884 Fax: 708-343-5629 | |
Healthy Soul Talk Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 S 1st Ave Ste 307, Maywood, IL 60153 Phone: 708-483-8455 Fax: 708-776-4717 | |
Proviso Leyden Council For Community Action Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-450-3500 Fax: 708-236-5186 |