Organization
RODASI LLC
Active
Other names
Ardent Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT F. TERRY ED.D. (OWNER / DIRECTOR)
(888) 870-1775
Entity
Organization
Contact information
Practice address
2500 W. HIGGINS RD, UNIT 105, HOFFMAN ESTATES, IL 60169-2040
(888) 870-1775
(847) 349-1619
Mailing address
684 S BARRINGTON RD, SUITE 112, STREAMWOOD, IL 60107-1841
(888) 870-1775
(847) 349-1619
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166000736
STATE LICENSE
IL
01
—
180006449
STATE LICENSE
IL
Enumeration date
02/20/2009
Last updated
11/13/2013
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