| Pdssc, LLC | |
|
1877 Waukegan Rd Glenview IL 60025-2158 | |
| (847) 729-9017 | |
| (847) 729-9047 |
| Full Name | Pdssc, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1877 Waukegan Rd, Glenview, Illinois |
| Authorized Official Name and Position | Kenneth P Davis (PRESIDENT) |
| Authorized Official Contact | 8477299017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdssc, LLC 1877 Waukegan Rd Glenview IL 60025-2158 Ph: (847) 729-9017 | Pdssc, LLC 1877 Waukegan Rd Glenview IL 60025-2158 Ph: (847) 729-9017 |
| NPI Number | 1114174521 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114174521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-4291-0001-A (Illinois) | Primary |
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