| Notre Dame Family Centers, Inc. | |
|
12919 S 86th Ave Palos Park IL 60464-1818 | |
| (505) 204-8404 | |
| Not Available |
| Full Name | Notre Dame Family Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12919 S 86th Ave, Palos Park, Illinois |
| Authorized Official Name and Position | Michele Watzke Johnson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7086718199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Notre Dame Family Centers, Inc. 12919 S 86th Ave Palos Park IL 60464-1818 Ph: (708) 671-8199 | Notre Dame Family Centers, Inc. 12919 S 86th Ave Palos Park IL 60464-1818 Ph: (505) 204-8404 |
| NPI Number | 1033636675 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033636675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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