| Td Fewkes Llc | |
|
12627 W 143rd St Homer Glen IL 60491-8381 | |
| (708) 203-3199 | |
| Not Available |
| Full Name | Td Fewkes Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12627 W 143rd St, Homer Glen, Illinois |
| Authorized Official Name and Position | Teresa A Davis-fewkes (PROVIDER) |
| Authorized Official Contact | 7082033199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Fewkes Llc 13021 S Oak Ct Palos Heights IL 60463-1927 Ph: (708) 203-3199 | Td Fewkes Llc 12627 W 143rd St Homer Glen IL 60491-8381 Ph: (708) 203-3199 |
| NPI Number | 1912823840 |
|---|---|
| Provider Enumeration Date | 06/25/2026 |
| Last Update Date | 06/25/2026 |
| Certification Date | 06/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912823840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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