| Neuronoodle Neurofeedback And Coaching Llc | |
|
175 E Hawthorne Pkwy Ste 220 Vernon Hills IL 60061-1432 | |
| (847) 386-1550 | |
| Not Available |
| Full Name | Neuronoodle Neurofeedback And Coaching Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 175 E Hawthorne Pkwy Ste 220, Vernon Hills, Illinois |
| Authorized Official Name and Position | William Pete Jansons (OWNER) |
| Authorized Official Contact | 8479224776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuronoodle Neurofeedback And Coaching Llc 306 Granby Rd Lake Forest IL 60045-1466 Ph: (847) 922-4776 | Neuronoodle Neurofeedback And Coaching Llc 175 E Hawthorne Pkwy Ste 220 Vernon Hills IL 60061-1432 Ph: (847) 386-1550 |
| NPI Number | 1194357228 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194357228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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