| Aid | |
|
121 Saravanos Rd Ste 1 Yorkville IL 60560-5813 | |
| (630) 966-4452 | |
| (630) 882-8409 |
| Full Name | Aid |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 121 Saravanos Rd Ste 1, Yorkville, Illinois |
| Authorized Official Name and Position | Frances Lore Baker (CEO) |
| Authorized Official Contact | 6309664001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aid 309 New Indian Trail Ct Aurora IL 60506-2411 Ph: (630) 966-4000 | Aid 121 Saravanos Rd Ste 1 Yorkville IL 60560-5813 Ph: (630) 966-4452 |
| NPI Number | 1649035627 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649035627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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