| Maine Center, Inc. | |
|
819 Busse Hwy Park Ridge IL 60068-2360 | |
| (847) 696-1570 | |
| (847) 696-1587 |
| Full Name | Maine Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 819 Busse Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | David R. Billingham (ASSOCIATE DIRECTOR, PROFESSIONAL SE) |
| Authorized Official Contact | 8476961570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Center, Inc. 819 Busse Hwy Park Ridge IL 60068-2360 Ph: (847) 696-1570 | Maine Center, Inc. 819 Busse Hwy Park Ridge IL 60068-2360 Ph: (847) 696-1570 |
| NPI Number | 1518087188 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518087188 | NPI | - | NPPES |
| 1615408 | Other | IL | BLUE CROSSBLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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