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41w400 Silver Glen Rd St Charles IL 60175-8453 | |
| (331) 901-4225 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 41w400 Silver Glen Rd, St Charles, Illinois |
| Authorized Official Name and Position | Sergio Cruz (CFO) |
| Authorized Official Contact | 6104279434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2201 Renaissance Blvd Fl 3 King Of Prussia PA 19406-2709 Ph: (610) 994-2900 | 41w400 Silver Glen Rd St Charles IL 60175-8453 Ph: (331) 901-4225 |
| NPI Number | 1578187886 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578187886 | NPI | - | NPPES |
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