Past Present Future | |
4300 Commerce Ct Ste 300-9 Lisle IL 60532-3709 | |
(630) 791-7117 | |
Not Available |
Full Name | Past Present Future |
---|---|
Speciality | Counselor - Mental Health |
Location | 4300 Commerce Ct Ste 300-9, Lisle, Illinois |
Authorized Official Name and Position | Donna C Bredrup (OWNER/COUNSELOR) |
Authorized Official Contact | 6307917117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Past Present Future 4832 Wallbank Ave Downers Grove IL 60515-3404 Ph: (630) 791-7117 | Past Present Future 4300 Commerce Ct Ste 300-9 Lisle IL 60532-3709 Ph: (630) 791-7117 |
NPI Number | 1952904468 |
---|---|
Provider Enumeration Date | 11/18/2020 |
Last Update Date | 11/18/2020 |
Certification Date | 11/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952904468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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