Mini Mental Health Services, Llc | |
531 1st St Grayslake IL 60030-1451 | |
(708) 785-2408 | |
Not Available |
Full Name | Mini Mental Health Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 531 1st St, Grayslake, Illinois |
Authorized Official Name and Position | Matthew L Miniscalco (CO-FOUNDER & PARTNER) |
Authorized Official Contact | 7087852408 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mini Mental Health Services, Llc 531 1st St Grayslake IL 60030-1451 Ph: (708) 785-2408 | Mini Mental Health Services, Llc 531 1st St Grayslake IL 60030-1451 Ph: (708) 785-2408 |
NPI Number | 1124744040 |
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Provider Enumeration Date | 10/12/2022 |
Last Update Date | 10/12/2022 |
Certification Date | 10/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124744040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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