Organization
ENTOURAGE CLINICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE DILLON LCPC, NCC, CADC (PRESIDENT/CLINICAL DIRECTOR)
(847) 393-5646
Entity
Organization
Contact information
Practice address
737 S 8TH ST, WEST DUNDEE, IL 60118-2108
(847) 406-0789
Mailing address
37 BURNETT AVE, LAKE VILLA, IL 60046-8670
(847) 393-5646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
171100000X
Acupuncturist
—
—
172P00000X
Naprapath
—
—
174V00000X
Clinical Ethicist
—
—
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/01/2017
Last updated
02/23/2017
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