| The Ben Gordon Center | |
|
12 Health Services Dr Dekalb IL 60115-9637 | |
| (815) 756-4875 | |
| Not Available |
| Full Name | The Ben Gordon Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Health Services Dr, Dekalb, Illinois |
| Authorized Official Name and Position | Bettybo Bieberitz (CONTRACT COORDINATOR) |
| Authorized Official Contact | 8157564875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ben Gordon Center 12 Health Services Dr Dekalb IL 60115-9637 Ph: () - | The Ben Gordon Center 12 Health Services Dr Dekalb IL 60115-9637 Ph: (815) 756-4875 |
| NPI Number | 1518357995 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518357995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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