Midwest Neurofitness | |
313 N Mattis Ave Suite 205 Champaign IL 61821-2460 | |
(217) 348-1086 | |
(217) 355-4012 |
Full Name | Midwest Neurofitness |
---|---|
Speciality | Counselor - Professional |
Location | 313 N Mattis Ave, Champaign, Illinois |
Authorized Official Name and Position | William Andrew Hogan (MAJORITY PARTNER) |
Authorized Official Contact | 2173481086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Neurofitness Po Box 584 Charleston IL 61920-0584 Ph: (217) 348-1086 | Midwest Neurofitness 313 N Mattis Ave Suite 205 Champaign IL 61821-2460 Ph: (217) 348-1086 |
NPI Number | 1447382932 |
---|---|
Provider Enumeration Date | 03/10/2007 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447382932 | NPI | - | NPPES |
01532018 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-002663 (Illinois) | Primary |
Creative Solutions, Pamela Wendt Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 N Chestnut St, Ste 220, Champaign, IL 61820 Phone: 217-202-9506 | |
Approachable Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 505 W University Ave Ste 211, Champaign, IL 61820 Phone: 217-398-3124 | |
Lawrence L Jeckel Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Galen Drive, Champaign, IL 61821 Phone: 217-356-0228 Fax: 217-356-0667 | |
Lavina Velasco Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2516 Waterville Dr, Champaign, IL 61822 Phone: 217-990-8309 | |
Doris Jenkins Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste 102e, Champaign, IL 61820 Phone: 217-343-7707 | |
Julie Birky Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 N Randolph St, Champaign, IL 61820 Phone: 815-357-7280 | |
Bodhi Counseling & Consulting Center, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 206 N Randolph St Ste 432, Champaign, IL 61820 Phone: 217-731-4638 |