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270 Center Dr Vernon Hills IL 60061-1564 | |
| (224) 612-2348 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 270 Center Dr, Vernon Hills, Illinois |
| Authorized Official Name and Position | Jamie Schafer (PATIENT SERVICES) |
| Authorized Official Contact | 2628422877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3715 Washington Rd Kenosha WI 53144-1629 Ph: (262) 842-2877 | 270 Center Dr Vernon Hills IL 60061-1564 Ph: (224) 612-2348 |
| NPI Number | 1487184420 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487184420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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