Blue Note Therapy PLLC
Social Worker, Clinical in Goreville, IL. Organization (NPI-2).
NPI number1063345809
StatusActive
Last updated in NPPESSep 13, 2026
Details
- NPI
- 1063345809
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Note Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2026
- Certification date
- Sep 13, 2026
- Last updated
- Sep 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2220 Friendship LoopGoreville, IL 62939-2153
Phone 773-742-4659
Mailing address
2220 Friendship LoopGoreville, IL 62939-2153
Phone 773-742-4659
Authorized official
Jason Palagi
Owner/Therapist
7737424659
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