Edgewood Clinical Services Of Plainfield

NPI 1043464803 - Counselor - 101YM0800X

NPI Details
NPI 1043464803
Enumeration Date 11/06/2008
Last Updated 11/06/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ADAM ADAM
Position EXECUTIVE DIRECTOR
Phone (630) 428-7890
Fax
Practice Location
14722 S NAPERVILLE RD
SUITE 112
PLAINFIELD IL, 60544-3302, US
Phone (630) 428-7890
Fax
Business Location
PO BOX 5222
NAPERVILLE IL, 60567-5222, US
Phone (630) 428-7890
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Illinois
License Number 149010253
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According to our database, Edgewood Clinical Services Of Plainfield NPI is 1043464803, taxonomy code is 101YM0800X and license number is 149010253, license state is located at Illinois. Edgewood Clinical Services Of Plainfield physically located at 14722 S Naperville Rd, Plainfield IL, 60544-3302. NPI Number 1033115704 has the healthcare provider type.

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1043464803 NPI number is provided on an as is basis without warranty of any kind. 1043464803 is maintained by the National Plan & Provider Enumeration System. The contents of Edgewood Clinical Services Of Plainfield are for informational purposes only.