| Midway Behavior Health | |
|
11888 Jennifer St Frankfort IL 60423-8028 | |
| (708) 378-4550 | |
| Not Available |
| Full Name | Midway Behavior Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11888 Jennifer St, Frankfort, Illinois |
| Authorized Official Name and Position | Gada Khalil (MANGER) |
| Authorized Official Contact | 7083784550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Behavior Health 11888 Jennifer St Frankfort IL 60423-8028 Ph: (708) 378-4550 | Midway Behavior Health 11888 Jennifer St Frankfort IL 60423-8028 Ph: (708) 378-4550 |
| NPI Number | 1104678150 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104678150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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