| Ascend | |
|
12641 S Vincennes Rd Blue Island IL 60406 | |
| (708) 597-3065 | |
| (866) 883-9952 |
| Full Name | Ascend |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12641 S Vincennes Rd, Blue Island, Illinois |
| Authorized Official Name and Position | Marie B Erickson (OFFICE MANAGER) |
| Authorized Official Contact | 7085973065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend 12641 S Vincennes Blue Island IL 60406 Ph: (708) 597-3065 | Ascend 12641 S Vincennes Rd Blue Island IL 60406 Ph: (708) 597-3065 |
| NPI Number | 1700973377 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700973377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
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