| Bridging The Gap Wellness And Behavioral Group | |
|
17953 Edwards Ave Country Club Hills IL 60478-5184 | |
| (773) 818-1854 | |
| Not Available |
| Full Name | Bridging The Gap Wellness And Behavioral Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17953 Edwards Ave, Country Club Hills, Illinois |
| Authorized Official Name and Position | Alice J Gibson (VICE PRESIDENT) |
| Authorized Official Contact | 7738181854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging The Gap Wellness And Behavioral Group 17953 Edwards Ave Country Club Hills IL 60478-5184 Ph: (773) 818-1854 | Bridging The Gap Wellness And Behavioral Group 17953 Edwards Ave Country Club Hills IL 60478-5184 Ph: (773) 818-1854 |
| NPI Number | 1841476983 |
|---|---|
| Provider Enumeration Date | 01/19/2008 |
| Last Update Date | 01/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841476983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 65704412 (Illinois) | Primary |
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