| Mdr Therapy, Pllc | |
|
922 Davis St Evanston IL 60201-3605 | |
| (773) 426-0768 | |
| Not Available |
| Full Name | Mdr Therapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 922 Davis St, Evanston, Illinois |
| Authorized Official Name and Position | Mindi Dewey-rosburg (THERAPIST) |
| Authorized Official Contact | 7734260768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdr Therapy, Pllc 922 Davis St Evanston IL 60201-3605 Ph: () - | Mdr Therapy, Pllc 922 Davis St Evanston IL 60201-3605 Ph: (773) 426-0768 |
| NPI Number | 1043099203 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043099203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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