| Northwestern Medicine Ben Gordon Center | |
|
100 S Latham St Ste 204 Sandwich IL 60548 | |
| (815) 786-7544 | |
| Not Available |
| Full Name | Northwestern Medicine Ben Gordon Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 S Latham St Ste 204, Sandwich, Illinois |
| Authorized Official Name and Position | Christine Zydek (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8157561521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medicine Ben Gordon Center Po Box 1109 Dekalb IL 60115-7109 Ph: (815) 786-7544 | Northwestern Medicine Ben Gordon Center 100 S Latham St Ste 204 Sandwich IL 60548 Ph: (815) 786-7544 |
| NPI Number | 1316304058 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316304058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A-5202-0001-A (Illinois) | Primary |
Ben Gordon Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Latham St, Suite 204, Sandwich, IL 60548 Phone: 815-786-7544 Fax: 815-786-7580 | |
Peace & Consolation Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S Main St, Sandwich, IL 60548 Phone: 630-244-4296 | |
The Brain Clinic, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 417 N Main St, Sandwich, IL 60548 Phone: 630-649-2819 |