| The Ease Program | |
|
2900 Frank Scott Pkwy W Ste 956 Belleville IL 62223-5000 | |
| (618) 233-3273 | |
| (618) 234-7233 |
| Full Name | The Ease Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2900 Frank Scott Pkwy W Ste 956, Belleville, Illinois |
| Authorized Official Name and Position | Carolyn S Endicott-plog (CLINICAL DIRECTOR / SOLE PROPRIETOR) |
| Authorized Official Contact | 6182333273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ease Program 2900 Frank Scott Pkwy W Ste 956 Belleville IL 62223-5000 Ph: (618) 233-3273 | The Ease Program 2900 Frank Scott Pkwy W Ste 956 Belleville IL 62223-5000 Ph: (618) 233-3273 |
| NPI Number | 1316385990 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316385990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.008683 (Illinois) | Primary |
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