| Northern Illinois Medical Center | |
|
3701 Doty Rd Woodstock IL 60098-7509 | |
| (815) 338-2910 | |
| (815) 338-2912 |
| Full Name | Northern Illinois Medical Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3701 Doty Rd, Woodstock, Illinois |
| Authorized Official Name and Position | Thomas Joseph Mcafee (CEO) |
| Authorized Official Contact | 8475956101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Illinois Medical Center 3701 Doty Rd Woodstock IL 60098-7509 Ph: (815) 338-2910 | Northern Illinois Medical Center 3701 Doty Rd Woodstock IL 60098-7509 Ph: (815) 338-2910 |
| NPI Number | 1962036921 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Certification Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962036921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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