| Oak Roots Dynamic Corp | |
|
675 N North Ct Suite 272 Palatine IL 60067-8157 | |
| (224) 436-7392 | |
| (847) 398-7831 |
| Full Name | Oak Roots Dynamic Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 675 N North Ct, Palatine, Illinois |
| Authorized Official Name and Position | John Corso (DIRECTOR) |
| Authorized Official Contact | 2244367392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Roots Dynamic Corp 675 N North Ct Suite 272 Palatine IL 60067-8157 Ph: (224) 436-7392 | Oak Roots Dynamic Corp 675 N North Ct Suite 272 Palatine IL 60067-8157 Ph: (224) 436-7392 |
| NPI Number | 1720441124 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720441124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.012248 (Illinois) | Primary |
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