| Pioneer Center For Human Services | |
|
13707 W Jackson St Woodstock IL 60098-3188 | |
| (815) 344-1230 | |
| (815) 344-3815 |
| Full Name | Pioneer Center For Human Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13707 W Jackson St, Woodstock, Illinois |
| Authorized Official Name and Position | Frank Samuel (CO-CEO) |
| Authorized Official Contact | 8157597135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Center For Human Services 4031 W Dayton St Mchenry IL 60050-8377 Ph: (815) 759-7152 | Pioneer Center For Human Services 13707 W Jackson St Woodstock IL 60098-3188 Ph: (815) 344-1230 |
| NPI Number | 1285278432 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285278432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Dennis R Brightwell, Md, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Rose Farm Rd, Woodstock, IL 60098 Phone: 815-575-9310 | |
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