| Unlimited Potential, Nfp | |
|
13811 Western Ave Blue Island IL 60406-3228 | |
| (708) 954-0123 | |
| (708) 943-7017 |
| Full Name | Unlimited Potential, Nfp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13811 Western Ave, Blue Island, Illinois |
| Authorized Official Name and Position | Love Mcpherson (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Contact | 7083699226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlimited Potential, Nfp 13811 Western Ave Blue Island IL 60406-3228 Ph: (708) 954-0123 | Unlimited Potential, Nfp 13811 Western Ave Blue Island IL 60406-3228 Ph: (708) 954-0123 |
| NPI Number | 1699506022 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699506022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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