Bennett & Bennett | |
4501 Route 176 Crystal Lake IL 60014 | |
(815) 477-4003 | |
Not Available |
Full Name | Bennett & Bennett |
---|---|
Speciality | Counselor - Mental Health |
Location | 4501 Route 176, Crystal Lake, Illinois |
Authorized Official Name and Position | Durie T Bennett (OWNER) |
Authorized Official Contact | 8154774003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bennett & Bennett 9319 Bull Valley Rd Bull Valley IL 60098-8186 Ph: () - | Bennett & Bennett 4501 Route 176 Crystal Lake IL 60014 Ph: (815) 477-4003 |
NPI Number | 1023282878 |
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Provider Enumeration Date | 04/14/2008 |
Last Update Date | 04/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023282878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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