| The Plains Clinic | |
|
1541 E Fabyan Pkwy Ste 101 Geneva IL 60134-4105 | |
| (630) 845-9644 | |
| (630) 845-9678 |
| Full Name | The Plains Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1541 E Fabyan Pkwy Ste 101, Geneva, Illinois |
| Authorized Official Name and Position | Angel Heredia Md (PRESIDENT) |
| Authorized Official Contact | 6308459644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Plains Clinic 1541 E Fabyan Pkwy Geneva IL 60134-4105 Ph: (630) 845-9644 | The Plains Clinic 1541 E Fabyan Pkwy Ste 101 Geneva IL 60134-4105 Ph: (630) 845-9644 |
| NPI Number | 1215652011 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215652011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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