| Oakwoods Center | |
|
23500 Western Ave Park Forest IL 60466-2612 | |
| (708) 481-5466 | |
| (708) 481-5466 |
| Full Name | Oakwoods Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 23500 Western Ave, Park Forest, Illinois |
| Authorized Official Name and Position | Lynn L Lidbury (OWNER/PROVIDER) |
| Authorized Official Contact | 7084815466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakwoods Center 23500 Western Ave Park Forest IL 60466-2612 Ph: (708) 481-5466 | Oakwoods Center 23500 Western Ave Park Forest IL 60466-2612 Ph: (708) 481-5466 |
| NPI Number | 1194068742 |
|---|---|
| Provider Enumeration Date | 04/02/2013 |
| Last Update Date | 04/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194068742 | NPI | - | NPPES |
| 1588679971 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.002670 (Illinois) | Primary |
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