Progressive Clinical Therapies Ltd
Psychiatry & Neurology, Psychiatry in Minooka, IL. Organization (NPI-2).
NPI number1043857949
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1043857949
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Clinical Therapies Ltd
- Organization subpart
- No
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
305 San Carlos RdMinooka, IL 60447-9246
Phone 815-666-4543
Mailing address
305 San Carlos RdMinooka, IL 60447-9246
Phone 815-666-4543
Authorized official
Paulette C Trum
Provider
8156664543
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