| Personal Growth Center, Ltd. | |
|
3612 Lincoln Hwy Suite 6 Olympia Fields IL 60461-1627 | |
| (708) 503-9400 | |
| (708) 503-0463 |
| Full Name | Personal Growth Center, Ltd. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3612 Lincoln Hwy, Olympia Fields, Illinois |
| Authorized Official Name and Position | Donna Lee Ulanowski (OWNER) |
| Authorized Official Contact | 7085039400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Growth Center, Ltd. 3612 Lincoln Hwy Suite 6 Olympia Fields IL 60461-1627 Ph: (708) 503-9400 | Personal Growth Center, Ltd. 3612 Lincoln Hwy Suite 6 Olympia Fields IL 60461-1627 Ph: (708) 503-9400 |
| NPI Number | 1942627971 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942627971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.002079 (Illinois) | Primary |
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