| Lotus Heart Llc | |
|
2910 Old Tavern Rd Lisle IL 60532-1490 | |
| (815) 988-0456 | |
| Not Available |
| Full Name | Lotus Heart Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2910 Old Tavern Rd, Lisle, Illinois |
| Authorized Official Name and Position | Shannon Francis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8159880456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Heart Llc 2910 Old Tavern Rd Lisle IL 60532-1490 Ph: (815) 988-0456 | Lotus Heart Llc 2910 Old Tavern Rd Lisle IL 60532-1490 Ph: (815) 988-0456 |
| NPI Number | 1710779608 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710779608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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