| The Tabor Therapy Group, Inc | |
|
5404 W Elm St Ste H Mchenry IL 60050-4007 | |
| (815) 331-8768 | |
| (815) 331-8760 |
| Full Name | The Tabor Therapy Group, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5404 W Elm St Ste H, Mchenry, Illinois |
| Authorized Official Name and Position | Jennifer Tabor (OWNER/THERAPIST) |
| Authorized Official Contact | 8155295933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 5404 W Elm St Ste H Mchenry IL 60050-4007 Ph: (815) 331-8768 |
| NPI Number | 1629480587 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Medicare PECOS PAC ID | 2365712361 |
|---|---|
| Medicare Enrollment ID | O20171011001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629480587 | NPI | - | NPPES |
| Provider Name | Stephanie N Swank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255882106 PECOS PAC ID: 0840570891 Enrollment ID: I20161208000610 |
| Provider Name | Gayle Saturday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699783803 PECOS PAC ID: 2567880768 Enrollment ID: I20200921002518 |
| Provider Name | Audrey Damore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588056766 PECOS PAC ID: 5092062281 Enrollment ID: I20211007001152 |
| Provider Name | Alexander Race |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912397365 PECOS PAC ID: 0143698191 Enrollment ID: I20221122002005 |
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