| Omni Youth Services-wheeling | |
|
210 N Wolf Rd Wheeling IL 60090-2922 | |
| (847) 541-0199 | |
| (847) 808-9772 |
| Full Name | Omni Youth Services-wheeling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 210 N Wolf Rd, Wheeling, Illinois |
| Authorized Official Name and Position | Shanan Egger (CFO) |
| Authorized Official Contact | 8473531762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Youth Services-wheeling 1111 W Lake Cook Rd Buffalo Grove IL 60089-1926 Ph: (847) 353-1500 | Omni Youth Services-wheeling 210 N Wolf Rd Wheeling IL 60090-2922 Ph: (847) 541-0199 |
| NPI Number | 1134369663 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134369663 | NPI | - | NPPES |
| 08005 | Medicaid | IL |
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