Full Name | 24/7 Dct |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 211 E Lake St Ste 1k, Addison, Illinois |
Authorized Official Name and Position | Wajahatuddin Macci (DIRECTOR) |
Authorized Official Contact | 7738175928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
24/7 Dct 211 E Lake St Ste 1k Addison IL 60101-2877 Ph: () - | 24/7 Dct 211 E Lake St Ste 1k Addison IL 60101-2877 Ph: (312) 600-5196 |
NPI Number | 1871372706 |
---|---|
Provider Enumeration Date | 09/28/2023 |
Last Update Date | 11/13/2023 |
Certification Date | 11/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871372706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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› Verified 2 days ago
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