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Organization
THE TABOR THERAPY GROUP, INC.
Active
Organization
THE TABOR THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (CHIEF MEDICAL OFFICER)
(941) 444-1730
Entity
Organization
Contact information
Practice address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
Mailing address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
05/03/2022
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