| Midwest Therapy Group, Inc. | |
|
125 E Lake St Suite 106 Bloomingdale IL 60108-1179 | |
| (630) 290-3384 | |
| Not Available |
| Full Name | Midwest Therapy Group, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 E Lake St, Bloomingdale, Illinois |
| Authorized Official Name and Position | Sara Brandt (PRESIDENT) |
| Authorized Official Contact | 6302903384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Therapy Group, Inc. 889 Asbury Ln Schaumburg IL 60193-4101 Ph: (630) 290-3384 | Midwest Therapy Group, Inc. 125 E Lake St Suite 106 Bloomingdale IL 60108-1179 Ph: (630) 290-3384 |
| NPI Number | 1023284726 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023284726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004492 (Illinois) | Primary |
| 106H00000X | Marriage & Family Therapist | 166-000532 (Illinois) | Secondary |
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