| None | |
|
143 First St Batavia IL 60510-3101 | |
| (630) 303-2044 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 143 First St, Batavia, Illinois |
| Authorized Official Name and Position | Alan Frank Singer (MANAGER) |
| Authorized Official Contact | 6303032044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 125 S 4th St Po Box 131 Oregon IL 61061-1609 Ph: (630) 303-2044 | None 143 First St Batavia IL 60510-3101 Ph: (630) 303-2044 |
| NPI Number | 1851569362 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 12/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851569362 | NPI | - | NPPES |
| 149.012104 | Other | IL | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149-012104 (Illinois) | Primary |
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