Organization
THE TABOR THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (CHIEF MEDICAL OFFICER)
(941) 444-1730
Entity
Organization
Contact information
Practice address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
Mailing address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
05/03/2022
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