| Greenleaf Memory Clinic Pllc | |
|
355 Greenleaf St Ste H Park City IL 60085-5708 | |
| (608) 320-9006 | |
| (847) 999-3859 |
| Full Name | Greenleaf Memory Clinic Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 355 Greenleaf St Ste H, Park City, Illinois |
| Authorized Official Name and Position | Malgorzata K Bach (NEUROLOGY/PHYSICIAN/OWNER) |
| Authorized Official Contact | 6083209006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenleaf Memory Clinic Pllc 355 Greenleaf St Ste H Park City IL 60085-5708 Ph: (608) 320-9006 | Greenleaf Memory Clinic Pllc 355 Greenleaf St Ste H Park City IL 60085-5708 Ph: (608) 320-9006 |
| NPI Number | 1952278608 |
|---|---|
| Provider Enumeration Date | 10/18/2025 |
| Last Update Date | 10/18/2025 |
| Certification Date | 10/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952278608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4118 Greenleaf Ct Apt 202, Park City, IL 60085 Phone: 847-377-8000 | |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4118 Greenleaf Ct, Park City, IL 60085 Phone: 847-377-8170 |