| The Soma Collective | |
|
119 N 3rd Ave Villa Park IL 60181-2320 | |
| (847) 226-6179 | |
| (847) 226-6179 |
| Full Name | The Soma Collective |
|---|---|
| Speciality | Counselor |
| Location | 119 N 3rd Ave, Villa Park, Illinois |
| Authorized Official Name and Position | Shannon April Daidone (FOUNDER/THERAPIST) |
| Authorized Official Contact | 8472266179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Soma Collective 543 S Michigan Ave Villa Park IL 60181-2816 Ph: (847) 226-6179 | The Soma Collective 119 N 3rd Ave Villa Park IL 60181-2320 Ph: (847) 226-6179 |
| NPI Number | 1609763770 |
|---|---|
| Provider Enumeration Date | 06/21/2025 |
| Last Update Date | 06/21/2025 |
| Certification Date | 06/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609763770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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