Narima Costa Spencer Pc | |
14007 S Bell Rd Homer Glen IL 60491-8463 | |
(708) 567-4563 | |
(708) 645-0041 |
Full Name | Narima Costa Spencer Pc |
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Speciality | Counselor - Professional |
Location | 14007 S Bell Rd, Homer Glen, Illinois |
Authorized Official Name and Position | Narima C Spencer (OWNER) |
Authorized Official Contact | 7085674563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Narima Costa Spencer Pc 14007 S Bell Rd Homer Glen IL 60491-8463 Ph: (708) 567-4563 | Narima Costa Spencer Pc 14007 S Bell Rd Homer Glen IL 60491-8463 Ph: (708) 567-4563 |
NPI Number | 1609010834 |
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Provider Enumeration Date | 05/01/2009 |
Last Update Date | 05/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609010834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180005260 (Illinois) | Primary |
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