| Breaking Free | |
|
120 Gale St Suite 200 Aurora IL 60506-5084 | |
| (630) 897-1003 | |
| (630) 572-0566 |
| Full Name | Breaking Free |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 120 Gale St, Aurora, Illinois |
| Authorized Official Name and Position | Herbert Stricklin (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 6308971003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free 120 Gale St Aurora IL 60506-5084 Ph: (308) 971-0036 | Breaking Free 120 Gale St Suite 200 Aurora IL 60506-5084 Ph: (630) 897-1003 |
| NPI Number | 1295872513 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295872513 | NPI | - | NPPES |
| 1839 | Other | IL | BLUE CROSS PROVIDER NUMBE |
| 0380 | Other | IL | DASA PROVIDER NUMBER |
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