| Mchenry Co. Latino Coalition | |
|
110 S Johnson St Suite 212 Woodstock IL 60098-3259 | |
| (815) 206-0445 | |
| (815) 206-1056 |
| Full Name | Mchenry Co. Latino Coalition |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 S Johnson St, Woodstock, Illinois |
| Authorized Official Name and Position | Carlos Jorge Acosta (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8152060445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mchenry Co. Latino Coalition 110 S Johnson St Suite 212 Woodstock IL 60098-3259 Ph: (815) 206-0445 | Mchenry Co. Latino Coalition 110 S Johnson St Suite 212 Woodstock IL 60098-3259 Ph: (815) 206-0445 |
| NPI Number | 1942458781 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942458781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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