| Nicasa, Nfp | |
|
2900 N Main St Buffalo Grove IL 60089-2717 | |
| (847) 634-6422 | |
| (847) 564-6760 |
| Full Name | Nicasa, Nfp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2900 N Main St, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Linda Snelten (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8475466450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicasa, Nfp 31979 N Fish Lake Rd Round Lake IL 60073-9517 Ph: (847) 546-6450 | Nicasa, Nfp 2900 N Main St Buffalo Grove IL 60089-2717 Ph: (847) 634-6422 |
| NPI Number | 1902220353 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902220353 | NPI | - | NPPES |
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