| Mary Grant-angioletti | |
|
9 S Fairview Ave 203 Park Ridge IL 60068-4033 | |
| (847) 452-3099 | |
| Not Available |
| Full Name | Mary Grant-angioletti |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 S Fairview Ave, Park Ridge, Illinois |
| Authorized Official Name and Position | Mary Grant-angioletti (LICENSED CLINICAL SOCAIL WORKER) |
| Authorized Official Contact | 8474523099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Grant-angioletti 9 S Fairview Ave 203 Park Ridge IL 60068-4033 Ph: (847) 452-3099 | Mary Grant-angioletti 9 S Fairview Ave 203 Park Ridge IL 60068-4033 Ph: (847) 452-3099 |
| NPI Number | 1952546327 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952546327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149002546 (Illinois) | Primary |
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