| Ideal Self, Inc. | |
|
5150 Landers Rd Hoffman Estates IL 60192-4500 | |
| (847) 468-1311 | |
| Not Available |
| Full Name | Ideal Self, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5150 Landers Rd, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Leslie Gaynor (PRESIDENT) |
| Authorized Official Contact | 8474681311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Self, Inc. 5150 Landers Rd Hoffman Estates IL 60192-4500 Ph: (847) 468-1311 | Ideal Self, Inc. 5150 Landers Rd Hoffman Estates IL 60192-4500 Ph: (847) 468-1311 |
| NPI Number | 1841490463 |
|---|---|
| Provider Enumeration Date | 07/22/2007 |
| Last Update Date | 07/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841490463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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