Roxy | |
1017 S State St. Lockport IL 60441 | |
(815) 717-1700 | |
Not Available |
Full Name | Roxy |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 1017 S State St., Lockport, Illinois |
Authorized Official Name and Position | Bob Taylor (CFO) |
Authorized Official Contact | 8153207190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roxy 301 Veterans Pkwy New Lenox IL 60451-2899 Ph: (815) 485-6197 | Roxy 1017 S State St. Lockport IL 60441 Ph: (815) 717-1700 |
NPI Number | 1033467535 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 05/20/2020 |
Certification Date | 05/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033467535 | NPI | - | NPPES |
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