Organization
INTERLUDE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS FRANCIS GORMAN III LCSW (CLINICAL DIRECTOR & THERAPIST)
(630) 247-1978
Entity
Organization
Contact information
Practice address
1125 FRANKLIN ST, DOWNERS GROVE, IL 60515-3551
(630) 247-1978
Mailing address
1125 FRANKLIN ST, DOWNERS GROVE, IL 60515-3551
(630) 247-1978
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
01/10/2025
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