| Brightside Clinic | |
|
408 W Main St Ottawa IL 61350-2802 | |
| (224) 205-7866 | |
| Not Available |
| Full Name | Brightside Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 408 W Main St, Ottawa, Illinois |
| Authorized Official Name and Position | Philip Atteberry (CEO) |
| Authorized Official Contact | 2242057868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Clinic 333 Skokie Blvd Ste 112 Northbrook IL 60062-1624 Ph: (224) 205-7866 | Brightside Clinic 408 W Main St Ottawa IL 61350-2802 Ph: (224) 205-7866 |
| NPI Number | 1427652809 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427652809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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