| The Tabor Therapy Group, Inc | |
|
5400 W Elm St Suite 104 Suite 104 Mchenry IL 60050-6005 | |
| (815) 331-8768 | |
| (815) 331-8768 |
| Full Name | The Tabor Therapy Group, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5400 W Elm St Suite 104, Mchenry, Illinois |
| Authorized Official Name and Position | Jennifer Tabor (OWNER/THERAPIST) |
| Authorized Official Contact | 8153318768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tabor Therapy Group, Inc 5400 W Elm St Ste 104 Mchenry IL 60050-4032 Ph: (815) 331-8768 | The Tabor Therapy Group, Inc 5400 W Elm St Suite 104 Suite 104 Mchenry IL 60050-6005 Ph: (815) 331-8768 |
| NPI Number | 1114457850 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114457850 | NPI | - | NPPES |
| 2B17-IPI-002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 060012029 (Illinois) | Primary |
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