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Organization
PATHWAY PROVIDER SERVICES PC
Active
Organization
PATHWAY PROVIDER SERVICES PC
Active
Other names
Pathway Provider Services Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A QUANDT LCSW MSW (PRESIDENT)
(708) 383-0065
Entity
Organization
Contact information
Practice address
810 HARRISON ST, OAK PARK, IL 60304
(708) 445-9330
Mailing address
810 HARRISON ST, OAK PARK, IL 60304
(708) 383-0065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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