Family Behavioral Health | |
24821 W 135th St Plainfield IL 60544-5413 | |
(815) 254-7400 | |
(815) 254-7408 |
Full Name | Family Behavioral Health |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 24821 W 135th St, Plainfield, Illinois |
Authorized Official Name and Position | Mahyar Parvin (DIRECTOR OF CORPORATION) |
Authorized Official Contact | 8152547400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Behavioral Health 24821 W 135th St Plainfield IL 60544-5413 Ph: (815) 254-7400 | Family Behavioral Health 24821 W 135th St Plainfield IL 60544-5413 Ph: (815) 254-7400 |
NPI Number | 1134395825 |
---|---|
Provider Enumeration Date | 05/02/2008 |
Last Update Date | 02/21/2020 |
Certification Date | 02/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134395825 | NPI | - | NPPES |
036111592 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036111592 (Illinois) | Primary |
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