| Tom Lelio Pc | |
|
110 Batson St Suite E New Lenox IL 60451 | |
| (815) 485-2885 | |
| (815) 485-2185 |
| Full Name | Tom Lelio Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 110 Batson St, New Lenox, Illinois |
| Authorized Official Name and Position | Thomas Francis Lelio (OWNER) |
| Authorized Official Contact | 8154852163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Lelio Pc 701 Misty Creek Dr New Lenox IL 60451 Ph: (815) 485-2163 | Tom Lelio Pc 110 Batson St Suite E New Lenox IL 60451 Ph: (815) 485-2885 |
| NPI Number | 1033301189 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033301189 | NPI | - | NPPES |
| 533810 | Other | IL | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (Illinois) | Primary |
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