Open Door Clinic

NPI 1174902555 - Counselor - 101YP2500X

NPI Details
NPI 1174902555
Enumeration Date 05/19/2015
Last Updated 05/19/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position EXECUTIVE DIRECTOR
Phone (630) 264-1819
Fax (630) 229-0182
Practice Location
157 S LINCOLN AVE
SUITE K
AURORA IL, 60505-4264, US
Phone (630) 264-1819
Fax (630) 229-0182
Business Location
157 S LINCOLN AVE
SUITE K
AURORA IL, 60505-4264, US
Phone (630) 264-1819
Fax (630) 229-0182
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
Remove 1174902555 NPI Number
 

According to our database, Open Door Clinic NPI is 1174902555, taxonomy code is 101YP2500X Open Door Clinic physically located at 157 S Lincoln Ave, Aurora IL, 60505-4264. NPI Number 1033115704 has the healthcare provider type.

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1174902555 NPI number is provided on an as is basis without warranty of any kind. 1174902555 is maintained by the National Plan & Provider Enumeration System. The contents of Open Door Clinic are for informational purposes only.