Organization
THE TABOR THERAPY GROUP, INC.
Active
Parent organization
THE TABOR THERAPY GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE TABOR THERAPY GROUP, INC.
Authorized official
ELLIOTT RICHELSON M.D. (CHIEF MEDICAL OFFICER)
(941) 444-1730
Entity
Organization
Contact information
Practice address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
(815) 331-8760
Mailing address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
(815) 331-8760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B17-IPI-002
—
IL
Enumeration date
05/25/2017
Last updated
05/03/2022
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