| Envision Therapy, Pllc | |
|
900 North Shore Dr Ste 200 Lake Bluff IL 60044-2225 | |
| (847) 922-5031 | |
| (847) 234-1191 |
| Full Name | Envision Therapy, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 900 North Shore Dr Ste 200, Lake Bluff, Illinois |
| Authorized Official Name and Position | Donna Marie Oldenburg (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 8479225031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Therapy, Pllc 234 W Washington Ave Lake Bluff IL 60044-2036 Ph: (847) 922-5031 | Envision Therapy, Pllc 900 North Shore Dr Ste 200 Lake Bluff IL 60044-2225 Ph: (847) 922-5031 |
| NPI Number | 1760028542 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760028542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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