Patti Reid | |
28070 State Rd Island Lake IL 60042-9481 | |
(847) 687-1846 | |
Not Available |
Full Name | Patti Reid |
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Speciality | Counselor - Professional |
Location | 28070 State Rd, Island Lake, Illinois |
Authorized Official Name and Position | Patti J Reid (OWNER) |
Authorized Official Contact | 8476871846 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patti Reid 3231 Park Dr Island Lake IL 60042-9481 Ph: (847) 687-1846 | Patti Reid 28070 State Rd Island Lake IL 60042-9481 Ph: (847) 687-1846 |
NPI Number | 1346633690 |
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Provider Enumeration Date | 03/11/2015 |
Last Update Date | 03/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346633690 | NPI | - | NPPES |
1922268499 | Other | IL | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180006696 (Illinois) | Primary |
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