| Heart Source Therapy | |
|
33 E Colorado Ave Frankfort IL 60423-1385 | |
| (708) 837-3319 | |
| (630) 262-3383 |
| Full Name | Heart Source Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 33 E Colorado Ave, Frankfort, Illinois |
| Authorized Official Name and Position | Gale Nienhuis (OWNER) |
| Authorized Official Contact | 7088373319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Source Therapy 33 E Colorado Ave Frankfort IL 60423-1385 Ph: (708) 837-3319 | Heart Source Therapy 33 E Colorado Ave Frankfort IL 60423-1385 Ph: (708) 837-3319 |
| NPI Number | 1902146202 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902146202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 149014484 (Illinois) | Primary |
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