| Relationshipstore Llc | |
|
241 S Frontage Rd Ste 36 Burr Ridge IL 60527-6169 | |
| (773) 895-3778 | |
| Not Available |
| Full Name | Relationshipstore Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 241 S Frontage Rd Ste 36, Burr Ridge, Illinois |
| Authorized Official Name and Position | Tim A O'donohue (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7738953778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Relationshipstore Llc 241 S Frontage Rd Ste 36 Burr Ridge IL 60527-6169 Ph: (773) 895-3778 | Relationshipstore Llc 241 S Frontage Rd Ste 36 Burr Ridge IL 60527-6169 Ph: (773) 895-3778 |
| NPI Number | 1730684291 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730684291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180002304 (Illinois) | Primary |
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