Thy X My | |
585 Thornhill Dr Unit 215 Carol Stream IL 60188-2764 | |
(630) 923-5838 | |
Not Available |
Full Name | Thy X My |
---|---|
Speciality | Community/behavioral Health |
Location | 585 Thornhill Dr, Carol Stream, Illinois |
Authorized Official Name and Position | Clifton George Burns (OWNER) |
Authorized Official Contact | 6309235838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thy X My 585 Thornhill Dr Unit 215 Carol Stream IL 60188-2764 Ph: (630) 923-5838 | Thy X My 585 Thornhill Dr Unit 215 Carol Stream IL 60188-2764 Ph: (630) 923-5838 |
NPI Number | 1356709398 |
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Provider Enumeration Date | 02/05/2016 |
Last Update Date | 02/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356709398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180009724 (Illinois) | Primary |
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