Organization
MAGGIE ULLRICH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ULLRICH (THERAPIST)
(815) 953-6924
Entity
Organization
Contact information
Practice address
213 E COURT ST STE 215, KANKAKEE, IL 60901-3824
(815) 953-6924
Mailing address
213 E COURT ST STE 215, KANKAKEE, IL 60901-3824
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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