| Maryville Academy | |
|
1150 N River Rd Des Plaines IL 60016-1214 | |
| (847) 894-9514 | |
| Not Available |
| Full Name | Maryville Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1150 N River Rd, Des Plaines, Illinois |
| Authorized Official Name and Position | Nancy Z Woulfe (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 8472941910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryville Academy 1150 N River Rd Des Plaines IL 60016-1214 Ph: (847) 894-9514 | Maryville Academy 1150 N River Rd Des Plaines IL 60016-1214 Ph: (847) 894-9514 |
| NPI Number | 1578697835 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578697835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149011289 (Illinois) | Primary |
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