Organization · NPI-2
247dct LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Wood Dale, IL
NPI number1013621523
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1013621523
- Entity type
- Organization (NPI-2)
- Legal business name
- 247dct LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
343 N Wood Dale Rd # 201aWood Dale, IL 60191-1578
Phone 773-817-5928
Mailing address
343 N Wood Dale Rd # 201aWood Dale, IL 60191-1578
Phone 773-817-5928
Authorized official
Wajahatuddin Macci
Owner
7738175928
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