| Therapy Health Clinic Llc | |
|
1010 Lake St Ste 200 Oak Park IL 60301-1132 | |
| (773) 354-1767 | |
| (844) 444-0221 |
| Full Name | Therapy Health Clinic Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1010 Lake St Ste 200, Oak Park, Illinois |
| Authorized Official Name and Position | Tony Dwayne Wilson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7733541767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Health Clinic Llc 921 S Humphrey Ave Oak Park IL 60304-1720 Ph: (773) 354-1767 | Therapy Health Clinic Llc 1010 Lake St Ste 200 Oak Park IL 60301-1132 Ph: (773) 354-1767 |
| NPI Number | 1629744099 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629744099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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