| Meadows Outpatient Center Illinois Llc | |
|
3250 Lacey Rd Ste 100 Downers Grove IL 60515-8354 | |
| (928) 684-4039 | |
| Not Available |
| Full Name | Meadows Outpatient Center Illinois Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3250 Lacey Rd Ste 100, Downers Grove, Illinois |
| Authorized Official Name and Position | Tracy Livingston (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 9286844039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Outpatient Center Illinois Llc 19820 N 7th St Ste 205 Phoenix AZ 85024-1694 Ph: (928) 684-4039 | Meadows Outpatient Center Illinois Llc 3250 Lacey Rd Ste 100 Downers Grove IL 60515-8354 Ph: (928) 684-4039 |
| NPI Number | 1679211502 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 12/26/2022 |
| Certification Date | 12/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679211502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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