Organization
J. HOWARD AND ASSOCIATES, INC.
Active
Organization
J. HOWARD AND ASSOCIATES, INC.
Active
Other names
The Center for Optimal Living
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HOWARD M.D. (MEDICAL DIRECTOR)
(630) 474-9029
Entity
Organization
Contact information
Practice address
444 N MAIN ST, SUITE 203, GLEN ELLYN, IL 60137-5118
(630) 474-9029
(630) 474-9028
Mailing address
444 N MAIN ST, SUITE 203, GLEN ELLYN, IL 60137-5118
(630) 474-9029
(630) 474-9028
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
036123850
IL
261QM1300X
Multi-Specialty Clinic/Center
180006925
IL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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