| New Foundation Center, Inc. | |
|
4570 Church St Skokie IL 60076-1534 | |
| (847) 501-2939 | |
| Not Available |
| Full Name | New Foundation Center, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4570 Church St, Skokie, Illinois |
| Authorized Official Name and Position | Susan Shimon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8475012939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Foundation Center, Inc. 444 W Frontage Rd Northfield IL 60093-3009 Ph: (847) 501-2939 | New Foundation Center, Inc. 4570 Church St Skokie IL 60076-1534 Ph: (847) 501-2939 |
| NPI Number | 1750568390 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750568390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 04147 (Illinois) | Primary |
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