| Promed Il Pllc | |
|
4580 Weaver Pkwy Ste 102 Warrenville IL 60555-3864 | |
| (844) 776-6332 | |
| Not Available |
| Full Name | Promed Il Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4580 Weaver Pkwy Ste 102, Warrenville, Illinois |
| Authorized Official Name and Position | Lev Grinman (OWNER) |
| Authorized Official Contact | 8447766332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Il Pllc 4 Legends Cir Melville NY 11747-5302 Ph: () - | Promed Il Pllc 4580 Weaver Pkwy Ste 102 Warrenville IL 60555-3864 Ph: (844) 776-6332 |
| NPI Number | 1174205801 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174205801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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