| Power | |
|
682 W Boughton Rd Ste D Bolingbrook IL 60440-2199 | |
| (630) 398-6204 | |
| Not Available |
| Full Name | Power |
|---|---|
| Speciality | Psychologist - School |
| Location | 682 W Boughton Rd Ste D, Bolingbrook, Illinois |
| Authorized Official Name and Position | Lateena Smith (OWNER/PSYCHOLOGIST PROVIDER) |
| Authorized Official Contact | 6303986204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Power 605 Piccadilly Ln Bolingbrook IL 60440-1021 Ph: () - | Power 682 W Boughton Rd Ste D Bolingbrook IL 60440-2199 Ph: (630) 398-6204 |
| NPI Number | 1700389152 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 03/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700389152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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