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Organization
WILLIAM A. VICTOR
Active
Organization
WILLIAM A. VICTOR
Active
Other names
The Midwest Relationship Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A VICTOR D.MIN, LCPC (ORGANIZER)
(618) 516-3337
Entity
Organization
Contact information
Practice address
6 EMERALD TER, SUITE 4, SWANSEA, IL 62226-2312
(618) 233-0500
(618) 233-7935
Mailing address
4109 BASSEN DR, SWANSEA, IL 62226-7909
(618) 516-3337
(618) 233-7935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027568
VMC BEHAVIORIL HEALTHCARE SERVICES
IL
01
—
09622928
BLUE CROSS BLUE SHIELD IL
IL
01
—
113166
HEALTH ALLIANCE
IL
01
—
11759843
CAQH
IL
01
—
2195725
COMPSYCH
IL
01
—
395768
HEALTHLINK
IL
01
—
400540
VAULE OPTIONS
IL
01
—
436317
MANAGED HEALTH NETWORK
IL
01
—
5281
CURALINC HEALTHCARE
—
01
—
5593729
AETNA
IL
Enumeration date
07/08/2011
Last updated
06/07/2012
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