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Organization

THE MARRIAGE CLINIC

Active
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Organization

THE MARRIAGE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN H. AMENDT JR. M.S.W. (OWNER)
(630) 690-3170
Entity
Organization

Contact information

Practice address
346 TAFT AVE, SUITE 030, GLEN ELLYN, IL 60137-6296
(630) 690-3170
Mailing address
346 TAFT AVE, SUITE 030, GLEN ELLYN, IL 60137-6296
(630) 690-3170

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001914
IL

Other

Enumeration date
01/10/2007
Last updated
08/05/2008
About Stedi
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  • Eligibility checks
  • EDI platform