| Restore Change Llc | |
|
1011 E Wilson Ave Lombard IL 60148-3765 | |
| (630) 708-0120 | |
| Not Available |
| Full Name | Restore Change Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1011 E Wilson Ave, Lombard, Illinois |
| Authorized Official Name and Position | Fahad Khan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6307080120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Change Llc 1011 E Wilson Ave Lombard IL 60148-3765 Ph: () - | Restore Change Llc 1011 E Wilson Ave Lombard IL 60148-3765 Ph: (630) 708-0120 |
| NPI Number | 1356946008 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356946008 | NPI | - | NPPES |
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