Organization
BRAIN DYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COLON (OWNER/PSYCHOLOGIST)
(224) 801-2760
Entity
Organization
Contact information
Practice address
746 WEST SPRING STREET, SOUTH ELGIN, IL 60177-1424
(224) 801-2760
Mailing address
830 W IL ROUTE 22 # 76, LAKE ZURICH, IL 60047-2560
(224) 801-2760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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