| Robert E Thurman Jr | |
|
3330 W 177th St Ste 1f Hazel Crest IL 60429-2186 | |
| (773) 419-8288 | |
| Not Available |
| Full Name | Robert E Thurman Jr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3330 W 177th St Ste 1f, Hazel Crest, Illinois |
| Authorized Official Name and Position | Robert Emil Thurman (LCSW; OWNER) |
| Authorized Official Contact | 7734198288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Thurman Jr 3330 W 177th St Ste 1f Hazel Crest IL 60429-2186 Ph: (773) 419-8288 | Robert E Thurman Jr 3330 W 177th St Ste 1f Hazel Crest IL 60429-2186 Ph: (773) 419-8288 |
| NPI Number | 1013504265 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013504265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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