| Neurotechtonics Inc Nfp | |
|
4350 211th St Ste 210a Matteson IL 60443-3082 | |
| (708) 833-7939 | |
| Not Available |
| Full Name | Neurotechtonics Inc Nfp |
|---|---|
| Speciality | Counselor |
| Location | 4350 211th St Ste 210a, Matteson, Illinois |
| Authorized Official Name and Position | Brian Aubrey Johnson (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 7082000034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotechtonics Inc Nfp 1213 Blackhawk Dr Ste 210a University Park IL 60484-3321 Ph: (708) 200-0034 | Neurotechtonics Inc Nfp 4350 211th St Ste 210a Matteson IL 60443-3082 Ph: (708) 833-7939 |
| NPI Number | 1245932086 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 5597100255 |
|---|---|
| Medicare Enrollment ID | O20240304003180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245932086 | NPI | - | NPPES |
| Provider Name | Brian Aubrey Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811582117 PECOS PAC ID: 6406291160 Enrollment ID: I20240328002012 |
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