Family Care Associates Of Bourbonnais, INC.
Psychologist, Clinical in Bourbonnais, IL. Organization (NPI-2).
NPI number1396239802
StatusActive
Last updated in NPPESJun 18, 2018
Details
- NPI
- 1396239802
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Care Associates Of Bourbonnais, INC.
- Organization subpart
- No
- Enumeration date
- Jun 18, 2018
- Last updated
- Jun 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071.009770 | IL | Yes |
Practice location
750 Almar Pkwy Ste 204Bourbonnais, IL 60914-2399
Phone 815-214-9872
Mailing address
750 Almar Pkwy Ste 204Bourbonnais, IL 60914-2399
Phone 815-214-9872
Authorized official
Benjamin Kunz
President
8152149872
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