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Organization
OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC
Active
Organization
OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC
Active
Other names
KP Counseling of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CLOYD (SECRETARY)
(763) 330-4953
Entity
Organization
Contact information
Practice address
6392 LINDEN RD, ROCKFORD, IL 61109-2816
(779) 368-0060
(779) 368-0579
Mailing address
6392 LINDEN RD, ROCKFORD, IL 61109-2816
(779) 368-0060
(779) 368-0579
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
03/07/2025
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