| Mebe Illinois | |
|
825 S Waukegan Rd Ste A8 Lake Forest IL 60045-2665 | |
| (619) 795-9925 | |
| Not Available |
| Full Name | Mebe Illinois |
|---|---|
| Speciality | Behavior Analyst |
| Location | 825 S Waukegan Rd Ste A8, Lake Forest, Illinois |
| Authorized Official Name and Position | Esteban Gonzalez (CONTRACTING AND CREDENTIALING SPEC) |
| Authorized Official Contact | 6193230832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mebe Illinois 8885 Rio San Diego Dr Ste 340 San Diego CA 92108-1669 Ph: (619) 795-9925 | Mebe Illinois 825 S Waukegan Rd Ste A8 Lake Forest IL 60045-2665 Ph: (619) 795-9925 |
| NPI Number | 1801494364 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801494364 | NPI | - | NPPES |
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