| Nick Fedele Llc | |
|
350 Gyorr Ave Unit 516 South Elgin IL 60177-3907 | |
| (630) 870-9013 | |
| Not Available |
| Full Name | Nick Fedele Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 350 Gyorr Ave Unit 516, South Elgin, Illinois |
| Authorized Official Name and Position | Nicholas Fedele (OWNER) |
| Authorized Official Contact | 6308709013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nick Fedele Llc 350 Gyorr Ave Unit 516 South Elgin IL 60177-3907 Ph: (630) 870-9013 | Nick Fedele Llc 350 Gyorr Ave Unit 516 South Elgin IL 60177-3907 Ph: (630) 870-9013 |
| NPI Number | 1184218620 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184218620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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