Organization
INSIGHT THERAPEUTICS, INC.
Active
Organization
INSIGHT THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MUKLEWICZ MS ED, NCC, LCPC (CLINICAL DIRECTOR)
(847) 800-9347
Entity
Organization
Contact information
Practice address
27W140 ROOSEVELT RD, SUITE 205, WINFIELD, IL 60190-1642
(847) 800-9347
(847) 628-0791
Mailing address
27W140 ROOSEVELT RD, SUITE 205, WINFIELD, IL 60190-1642
(847) 800-9347
(847) 628-0791
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205091920
INDIVIDUAL NPI NUMBER
IL
Enumeration date
10/06/2016
Last updated
10/06/2016
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