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Organization
INSTITUTE FOR MOTIVATIONAL DEVELOPMENT OF ILLINOIS LTD
Active
Organization
INSTITUTE FOR MOTIVATIONAL DEVELOPMENT OF ILLINOIS LTD
Active
Other names
The Marriage Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ZEPEDA MS, LPC (DIRECTOR)
(630) 627-5000
Entity
Organization
Contact information
Practice address
10 E 22ND ST STE 210, LOMBARD, IL 60148-6108
(630) 627-5000
(630) 627-5032
Mailing address
10 E 22ND ST STE 210, LOMBARD, IL 60148-6108
(630) 627-5000
(630) 627-5032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215154
BCBS OF ILLINOIS
IL
Enumeration date
02/12/2007
Last updated
05/16/2008
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