Kendrick Brain Restoration | |
15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 | |
(502) 345-1487 | |
Not Available |
Full Name | Kendrick Brain Restoration |
---|---|
Speciality | Community/behavioral Health |
Location | 15255 S 94th Ave Ste 500, Orland Park, Illinois |
Authorized Official Name and Position | Uneka Shervon Kendrick (CEO/OWNER) |
Authorized Official Contact | 5023451487 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kendrick Brain Restoration 15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 Ph: (502) 345-1487 | Kendrick Brain Restoration 15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 Ph: (502) 345-1487 |
NPI Number | 1013539865 |
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Provider Enumeration Date | 05/15/2020 |
Last Update Date | 05/15/2020 |
Certification Date | 05/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013539865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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