| Spectrum Center For Integrative Neuroscience Pc | |
|
4302 W Crystal Lake Road Suite C Mchenry IL 60050-4248 | |
| (815) 271-5608 | |
| (779) 704-2139 |
| Full Name | Spectrum Center For Integrative Neuroscience Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4302 W Crystal Lake Road, Mchenry, Illinois |
| Authorized Official Name and Position | Elizabeth Marie Zimmerman (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8152715608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Center For Integrative Neuroscience Pc 4302 W Crystal Lake Road Suite C Mchenry IL 60050-4248 Ph: (815) 271-5608 | Spectrum Center For Integrative Neuroscience Pc 4302 W Crystal Lake Road Suite C Mchenry IL 60050-4248 Ph: (815) 271-5608 |
| NPI Number | 1144696261 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144696261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071-009100 (Illinois) | Primary |
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