| The Perissos Center | |
|
1580 N Northwest Hwy Suite 311-d Park Ridge IL 60068-1444 | |
| (847) 827-0600 | |
| (847) 827-0655 |
| Full Name | The Perissos Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1580 N Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Nada Marie Brzovich (DIRECTOR) |
| Authorized Official Contact | 8478270600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Perissos Center 1580 N Northwest Hwy Suite 311-d Park Ridge IL 60068-1444 Ph: (847) 827-0600 | The Perissos Center 1580 N Northwest Hwy Suite 311-d Park Ridge IL 60068-1444 Ph: (847) 827-0600 |
| NPI Number | 1407071640 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407071640 | NPI | - | NPPES |
| 01635478 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
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