| Sheila A. Boender, Inc | |
|
9721 165th St Ste 23 Orland Park IL 60467-4511 | |
| (708) 602-9425 | |
| (708) 694-9435 |
| Full Name | Sheila A. Boender, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9721 165th St Ste 23, Orland Park, Illinois |
| Authorized Official Name and Position | Sheila Adele Boender (PRESIDENT) |
| Authorized Official Contact | 7086029425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila A. Boender, Inc 9721 165th St Ste 23 Orland Park IL 60467-4511 Ph: (708) 602-9425 | Sheila A. Boender, Inc 9721 165th St Ste 23 Orland Park IL 60467-4511 Ph: (708) 602-9425 |
| NPI Number | 1720223340 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720223340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 180003880 (Illinois) | Primary |
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