| Tazwood Center For Wellness | |
|
210 W. Walnut Street Canton IL 61520-2444 | |
| (309) 647-5240 | |
| Not Available |
| Full Name | Tazwood Center For Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 W. Walnut Street, Canton, Illinois |
| Authorized Official Name and Position | N Brenda Franklin (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3094775526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazwood Center For Wellness 210 W Walnut St Canton IL 61520-2444 Ph: (309) 647-5240 | Tazwood Center For Wellness 210 W. Walnut Street Canton IL 61520-2444 Ph: (309) 647-5240 |
| NPI Number | 1629444070 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629444070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04132 (Illinois) | Primary |
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