| Myowndoctor Medical Group | |
|
1000 Essington Rd Joliet IL 60435-2841 | |
| (312) 883-0930 | |
| (312) 724-5823 |
| Full Name | Myowndoctor Medical Group |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1000 Essington Rd, Joliet, Illinois |
| Authorized Official Name and Position | Miriam Schneider (GENERAL COUNSEL) |
| Authorized Official Contact | 8478632788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myowndoctor Medical Group 1000 Essington Rd Joliet IL 60435-2841 Ph: (312) 883-0930 | Myowndoctor Medical Group 1000 Essington Rd Joliet IL 60435-2841 Ph: (312) 883-0930 |
| NPI Number | 1518679331 |
|---|---|
| Provider Enumeration Date | 12/23/2022 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518679331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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