Mchenry Main Offices | |
2030 N Seminary Ave Woodstock IL 60098-2626 | |
(773) 572-5500 | |
Not Available |
Full Name | Mchenry Main Offices |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2030 N Seminary Ave, Woodstock, Illinois |
Authorized Official Name and Position | Marcella Klauer (EXECUTIVE ASSISTANT) |
Authorized Official Contact | 7735725480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mchenry Main Offices 4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: () - | Mchenry Main Offices 2030 N Seminary Ave Woodstock IL 60098-2626 Ph: (773) 572-5500 |
NPI Number | 1184111536 |
---|---|
Provider Enumeration Date | 04/20/2018 |
Last Update Date | 07/14/2022 |
Certification Date | 07/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184111536 | NPI | - | NPPES |
04133 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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