| Sparrow's Spring Clinical Services, Ltd. | |
|
75 Executive Dr Suite 401f Aurora IL 60504-8137 | |
| (630) 200-9468 | |
| Not Available |
| Full Name | Sparrow's Spring Clinical Services, Ltd. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 75 Executive Dr, Aurora, Illinois |
| Authorized Official Name and Position | Monica E Kannenwischer (PRESIDENT AND OWNER) |
| Authorized Official Contact | 6302009468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow's Spring Clinical Services, Ltd. 75 Executive Dr Suite 401f Aurora IL 60504-8137 Ph: (630) 200-9468 | Sparrow's Spring Clinical Services, Ltd. 75 Executive Dr Suite 401f Aurora IL 60504-8137 Ph: (630) 200-9468 |
| NPI Number | 1881131092 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881131092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.001002 (Illinois) | Primary |
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