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605 E Roosevelt Rd Wheaton IL 60187-5568 | |
| (630) 221-8290 | |
| (630) 221-8098 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 E Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Lauren Keppel (COUNSELING CENTER COORDINATOR) |
| Authorized Official Contact | 6302218290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
605 E Roosevelt Rd Wheaton IL 60187-5568 Ph: (630) 221-8290 | 605 E Roosevelt Rd Wheaton IL 60187-5568 Ph: (630) 221-8290 |
| NPI Number | 1245662337 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245662337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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