Organization
NEW MOON WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A DUROS LCSW (SOLE MEMBER)
(312) 852-0580
Entity
Organization
Contact information
Practice address
2606 MARIAN LN, WILMETTE, IL 60091-2208
(312) 852-0580
Mailing address
2606 MARIAN LN, WILMETTE, IL 60091-2208
(312) 852-0580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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