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Organization
LIVINDI MEDICAL GROUP ILLINOIS PLLC
Active
Organization
LIVINDI MEDICAL GROUP ILLINOIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M WATKINS (ADMINISTRATOR)
(508) 416-6026
Entity
Organization
Contact information
Practice address
1328 MAIN ST, CRETE, IL 60417-2131
(508) 416-6026
Mailing address
PO BOX 70, WAYLAND, MA 01778-0070
(508) 416-6026
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
07/24/2023
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