| Clementine Naperville | |
|
27w121 80th St Naperville IL 60565-1270 | |
| (305) 663-1876 | |
| Not Available |
| Full Name | Clementine Naperville |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 27w121 80th St, Naperville, Illinois |
| Authorized Official Name and Position | Mike Bagley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clementine Naperville 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Clementine Naperville 27w121 80th St Naperville IL 60565-1270 Ph: (305) 663-1876 |
| NPI Number | 1720629041 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720629041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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