| Equulibrium, LLC | |
|
2603 S Washington St Ste 170 Naperville IL 60565-6377 | |
| (630) 305-6180 | |
| Not Available |
| Full Name | Equulibrium, LLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2603 S Washington St Ste 170, Naperville, Illinois |
| Authorized Official Name and Position | Arieahn and William Matamonasa Bennett (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6303056180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equulibrium, LLC 2603 S. Washington Street Naperville IL 60565 Ph: (630) 305-6180 | Equulibrium, LLC 2603 S Washington St Ste 170 Naperville IL 60565-6377 Ph: (630) 305-6180 |
| NPI Number | 1255634002 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255634002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007415 (Illinois) | Primary |
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