| 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 | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5404 W Elm St Ste H, Mchenry, 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. 5404 W Elm St Ste H Mchenry IL 60050-4007 Ph: (815) 331-8768 |
| NPI Number | 1023546710 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023546710 | NPI | - | NPPES |
| 2B17-IPI-002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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