Organization
FELICE BLOCK MA LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICE BLOCK LCPC (OWNER)
(847) 494-0482
Entity
Organization
Contact information
Practice address
4160 IL ROUTE 83 STE 206, LONG GROVE, IL 60047-8034
(847) 494-0482
Mailing address
4160 IL ROUTE 83 STE 206, LONG GROVE, IL 60047-8034
(847) 494-0482
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
01
—
1396806683
NPI 1
—
Enumeration date
03/24/2020
Last updated
03/24/2020
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