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Illinois Medical And Behavioral Care, LLC

Community/Behavioral Health in Naperville, IL. Organization (NPI-2).

NPI number1982143368
StatusActive
Last updated in NPPESFeb 27, 2017

Details

NPI
1982143368
Entity type
Organization (NPI-2)
Legal business name
Illinois Medical And Behavioral Care, LLC
Organization subpart
No
Enumeration date
Feb 17, 2017
Last updated
Feb 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1601 N Bond Street
Suite 201
Naperville, IL 60563-0115

Phone 630-261-9220 · Fax 630-689-1786

Mailing address

1601 N Bond Street
Suite 201
Naperville, IL 60563-0115

Phone 630-261-9220 · Fax 630-689-1786

Authorized official

Rizwana Mughal
Medical Director
6302619220

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