Organization
GREENPATH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PERSUN (GENERAL MANAGER)
(630) 272-5149
Entity
Organization
Contact information
Practice address
2132 DEEP WATER LN STE 240, NAPERVILLE, IL 60564-8565
(630) 272-5149
Mailing address
2132 DEEP WATER LN STE 240, NAPERVILLE, IL 60564-8565
(630) 272-5149
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/22/2020
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