| The Mansio Center, Inc. | |
|
499 Anthony St Glen Ellyn IL 60137-4468 | |
| (877) 506-2674 | |
| Not Available |
| Full Name | The Mansio Center, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 499 Anthony St, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Iryna Arute (CO-PRESIDENT) |
| Authorized Official Contact | 8775062674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mansio Center, Inc. 499 Anthony St Glen Ellyn IL 60137-4468 Ph: (877) 506-2674 | The Mansio Center, Inc. 499 Anthony St Glen Ellyn IL 60137-4468 Ph: (877) 506-2674 |
| NPI Number | 1013469303 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013469303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180010058 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071009406 (Illinois) | Primary |
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