| The Office Of Adele M. Bryant, Llc | |
|
17127 Oak Park Ave Tinley Park IL 60477-3405 | |
| (815) 530-4589 | |
| Not Available |
| Full Name | The Office Of Adele M. Bryant, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17127 Oak Park Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Adele M. Bryant (SOLE PROPRIETOR) |
| Authorized Official Contact | 8157262546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Office Of Adele M. Bryant, Llc 410 N Reed St Joliet IL 60435-5968 Ph: () - | The Office Of Adele M. Bryant, Llc 17127 Oak Park Ave Tinley Park IL 60477-3405 Ph: (815) 530-4589 |
| NPI Number | 1619100831 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 09/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619100831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 180000741 (Illinois) | Primary |
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