| Edgewood Clinical Services Of Plainfield | |
|
14722 S Naperville Rd Suite 112 Plainfield IL 60544-3302 | |
| (630) 428-7890 | |
| Not Available |
| Full Name | Edgewood Clinical Services Of Plainfield |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14722 S Naperville Rd, Plainfield, Illinois |
| Authorized Official Name and Position | Adam Russo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6304287890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Clinical Services Of Plainfield Po Box 5222 Naperville IL 60567-5222 Ph: (630) 428-7890 | Edgewood Clinical Services Of Plainfield 14722 S Naperville Rd Suite 112 Plainfield IL 60544-3302 Ph: (630) 428-7890 |
| NPI Number | 1043464803 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043464803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 149010253 (Illinois) | Primary |
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