| The Tabor Therapy Group, Inc | |
|
12151 Regency Pkwy Ste 12169 Huntley IL 60142-7644 | |
| (815) 331-8768 | |
| Not Available |
| Full Name | The Tabor Therapy Group, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 12151 Regency Pkwy Ste 12169, Huntley, Illinois |
| Authorized Official Name and Position | Elliott Richelson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9414441730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tabor Therapy Group, Inc 5404 W Elm St Ste H Mchenry IL 60050-4007 Ph: (815) 331-8768 | The Tabor Therapy Group, Inc 12151 Regency Pkwy Ste 12169 Huntley IL 60142-7644 Ph: (815) 331-8768 |
| NPI Number | 1619596541 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619596541 | NPI | - | NPPES |
| 2B17-IPI-002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
The Tabor Therapy Group, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12151 Regency Pkwy Ste 12169, Huntley, IL 60142 Phone: 815-331-8768 | |
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