Restoration Mbs Center,inc. | |
1127 S Mannheim Rd Suite 216 Westchester IL 60154-2570 | |
(708) 483-8320 | |
(708) 483-8321 |
Full Name | Restoration Mbs Center,inc. |
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Speciality | Psychologist - Addiction (substance Use Disorder) |
Location | 1127 S Mannheim Rd, Westchester, Illinois |
Authorized Official Name and Position | Cornell G. Badette (DIRECTOR 1) |
Authorized Official Contact | 6306606308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Restoration Mbs Center,inc. 1127 S Mannheim Rd Suite 216 Westchester IL 60154-2570 Ph: (708) 483-8320 | Restoration Mbs Center,inc. 1127 S Mannheim Rd Suite 216 Westchester IL 60154-2570 Ph: (708) 483-8320 |
NPI Number | 1386873362 |
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Provider Enumeration Date | 07/10/2009 |
Last Update Date | 07/10/2009 |
Identifier | Type | State | Issuer |
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1386873362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | A-3821-0001-A (Illinois) | Primary |
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