| The Marriage Clinic | |
|
346 Taft Ave Suite 030 Glen Ellyn IL 60137-6296 | |
| (630) 690-3170 | |
| Not Available |
| Full Name | The Marriage Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 346 Taft Ave, Glen Ellyn, Illinois |
| Authorized Official Name and Position | John H. Amendt (OWNER) |
| Authorized Official Contact | 6306903170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Marriage Clinic 346 Taft Ave Suite 030 Glen Ellyn IL 60137-6296 Ph: (630) 690-3170 | The Marriage Clinic 346 Taft Ave Suite 030 Glen Ellyn IL 60137-6296 Ph: (630) 690-3170 |
| NPI Number | 1609926005 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609926005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149001914 (Illinois) | Primary |
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