| New Foundation Center, Inc, | |
|
444 W Frontage Rd Northfield IL 60093-3009 | |
| (847) 501-2939 | |
| (847) 501-4803 |
| Full Name | New Foundation Center, Inc, |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 444 W Frontage Rd, Northfield, Illinois |
| Authorized Official Name and Position | Susan M Shimon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8475012839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Foundation Center, Inc, 444 W Frontage Rd Northfield IL 60093-3009 Ph: (847) 501-2939 | New Foundation Center, Inc, 444 W Frontage Rd Northfield IL 60093-3009 Ph: (847) 501-2939 |
| NPI Number | 1174686083 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174686083 | NPI | - | NPPES |
| 1632232 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 04147 (Illinois) | Primary |
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