| Maryville Academy | |
|
951 W Bartlett Rd Bartlett IL 60103-4479 | |
| (630) 483-4560 | |
| Not Available |
| Full Name | Maryville Academy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 951 W Bartlett Rd, Bartlett, Illinois |
| Authorized Official Name and Position | Nancy Z Woulfe (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 8472941910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryville Academy 1150 N River Rd Des Plaines IL 60016-1214 Ph: (847) 294-1910 | Maryville Academy 951 W Bartlett Rd Bartlett IL 60103-4479 Ph: (630) 483-4560 |
| NPI Number | 1982154480 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982154480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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