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2255 N Greenbay Rd Waukegan IL 60087-6008 | |
| (224) 430-8109 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2255 N Greenbay Rd, Waukegan, Illinois |
| Authorized Official Name and Position | Kimerly Barkus (LICENSED THERAPIST/OWNER) |
| Authorized Official Contact | 2244308109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 122 Gurnee IL 60031-0122 Ph: (224) 430-8109 | 2255 N Greenbay Rd Waukegan IL 60087-6008 Ph: (224) 430-8109 |
| NPI Number | 1457936031 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457936031 | NPI | - | NPPES |
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