Organization
NEW VISIONS COUNSELING CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI MEDINA CADC (PRESIDENT)
(630) 493-1100
Entity
Organization
Contact information
Practice address
6912 MAIN ST STE 201, DOWNERS GROVE, IL 60516-3450
(630) 493-1100
(630) 493-0942
Mailing address
1124 PARTRIDGE AVE, BOLINGBROOK, IL 60490-3108
(630) 493-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-3689-0001-A
IL
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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