| Associates For Innovative Change | |
|
210 S 5th St Ste 103 St Charles IL 60174-2700 | |
| (224) 678-9033 | |
| Not Available |
| Full Name | Associates For Innovative Change |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 210 S 5th St Ste 103, St Charles, Illinois |
| Authorized Official Name and Position | Kathryn R Juzwin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2246789033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates For Innovative Change 210 S 5th St Ste 103 St Charles IL 60174-2700 Ph: (224) 678-9033 | Associates For Innovative Change 210 S 5th St Ste 103 St Charles IL 60174-2700 Ph: (224) 678-9033 |
| NPI Number | 1205358579 |
|---|---|
| Provider Enumeration Date | 07/08/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205358579 | NPI | - | NPPES |
| 1518158948 | Other | IL | CLINICAL PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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