| Restorative Life Services, Llc | |
|
169624 Governors Highway Flossmoor IL 60422 | |
| (773) 412-5260 | |
| Not Available |
| Full Name | Restorative Life Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 169624 Governors Highway, Flossmoor, Illinois |
| Authorized Official Name and Position | Ghana Cooper (OWNER) |
| Authorized Official Contact | 7737269775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Life Services, Llc 4553 S Michigan Ave Chicago IL 60653-3997 Ph: (773) 726-9775 | Restorative Life Services, Llc 169624 Governors Highway Flossmoor IL 60422 Ph: (773) 412-5260 |
| NPI Number | 1285981506 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 08/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285981506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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