| Sugar Grove Wellness, Llc | |
|
263 S Main Street Sugar Grove IL 60554-5491 | |
| (630) 306-9990 | |
| Not Available |
| Full Name | Sugar Grove Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 263 S Main Street, Sugar Grove, Illinois |
| Authorized Official Name and Position | Melissa Ann Joseph (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6303069990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Grove Wellness, Llc Po Box 1102 Sugar Grove IL 60554-1102 Ph: () - | Sugar Grove Wellness, Llc 263 S Main Street Sugar Grove IL 60554-5491 Ph: (630) 306-9990 |
| NPI Number | 1114673779 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114673779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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