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Organization
THE TABOR THERAPY GROUP, INC
Active
Organization
THE TABOR THERAPY GROUP, INC
Active
Parent organization
THE TABOR THERAPY GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE TABOR THERAPY GROUP, INC
Authorized official
JENNIFER TABOR LCSW (OWNER/THERAPIST)
(815) 331-8768
Entity
Organization
Contact information
Practice address
5400 W ELM ST SUITE 104, SUITE 104, MCHENRY, IL 60050-6005
(815) 331-8768
(815) 331-8768
Mailing address
5400 W ELM ST STE 104, MCHENRY, IL 60050-4032
(815) 331-8768
(815) 331-8760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
060012029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B17-IPI-002
—
IL
Enumeration date
06/15/2017
Last updated
06/27/2017
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