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 |
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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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