| Mosaic Therapy | |
|
8300 Callie Ave Morton Grove IL 60053-3721 | |
| (312) 799-9351 | |
| Not Available |
| Full Name | Mosaic Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8300 Callie Ave, Morton Grove, Illinois |
| Authorized Official Name and Position | Veronica Vyazovsky (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3127999351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Therapy 7925 Lincoln Ave Skokie IL 60077-3679 Ph: (312) 799-9351 | Mosaic Therapy 8300 Callie Ave Morton Grove IL 60053-3721 Ph: (312) 799-9351 |
| NPI Number | 1366899668 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366899668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16002 (Illinois) | Primary |
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