| Oakside Clinic | |
|
1905 W Court St Entrance A Kankakee IL 60901-3163 | |
| (815) 933-2240 | |
| (815) 935-7261 |
| Full Name | Oakside Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1905 W Court St, Kankakee, Illinois |
| Authorized Official Name and Position | Elizabeth J. Hammond (MANAGER) |
| Authorized Official Contact | 8159332240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakside Clinic 1905 W Court St Entrance A Kankakee IL 60901-3163 Ph: (815) 933-2240 | Oakside Clinic 1905 W Court St Entrance A Kankakee IL 60901-3163 Ph: (815) 933-2240 |
| NPI Number | 1427118439 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427118439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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