| On Your Feet Foundation | |
|
741 Sheridan Rd Evanston IL 60202-2501 | |
| (312) 399-0826 | |
| Not Available |
| Full Name | On Your Feet Foundation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 741 Sheridan Rd, Evanston, Illinois |
| Authorized Official Name and Position | Alexis Del Campo Eyler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2248586933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Your Feet Foundation 1555 Sherman Ave # 173 Evanston IL 60201-4421 Ph: (224) 858-6933 | On Your Feet Foundation 741 Sheridan Rd Evanston IL 60202-2501 Ph: (312) 399-0826 |
| NPI Number | 1780428706 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780428706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
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