Organization
ALCORN CLINICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E ALCORN IV PSY.D. (PRESIDENT)
(708) 243-2894
Entity
Organization
Contact information
Practice address
637 LAKE RD, GLEN ELLYN, IL 60137-4249
(708) 243-2894
Mailing address
715 HIGHLAND AVE, GLEN ELLYN, IL 60137-3821
(708) 243-2894
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/17/2024
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