| Owllight Therapy Inc | |
|
7222 W Cermak Rd Ste 500 North Riverside IL 60546-1443 | |
| (866) 695-2221 | |
| (866) 695-2221 |
| Full Name | Owllight Therapy Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7222 W Cermak Rd Ste 500, North Riverside, Illinois |
| Authorized Official Name and Position | Zaina Daoud (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7089490746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owllight Therapy Inc 3617 Dora St Franklin Park IL 60131-1613 Ph: (708) 949-0746 | Owllight Therapy Inc 7222 W Cermak Rd Ste 500 North Riverside IL 60546-1443 Ph: (866) 695-2221 |
| NPI Number | 1023775467 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023775467 | NPI | - | NPPES |
| 001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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