Shore Therapy Center For Wellness, Pllc | |
1189 Wilmette Ave # 174 Wilmette IL 60091-2719 | |
(847) 558-1546 | |
(847) 787-1868 |
Full Name | Shore Therapy Center For Wellness, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1189 Wilmette Ave # 174, Wilmette, Illinois |
Authorized Official Name and Position | Corrie A. Goldberg (OWNER) |
Authorized Official Contact | 8475581546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shore Therapy Center For Wellness, Pllc 1006 Marion Ave Highland Park IL 60035-5130 Ph: (630) 362-0129 | Shore Therapy Center For Wellness, Pllc 1189 Wilmette Ave # 174 Wilmette IL 60091-2719 Ph: (847) 558-1546 |
NPI Number | 1285385617 |
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Provider Enumeration Date | 01/18/2022 |
Last Update Date | 01/18/2022 |
Certification Date | 01/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285385617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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