Organization
FAMILY CARE ASSOCIATES OF BOURBONNAIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN KUNZ PSY.D. (PRESIDENT)
(815) 214-9872
Entity
Organization
Contact information
Practice address
750 ALMAR PKWY STE 204, BOURBONNAIS, IL 60914-2399
(815) 214-9872
Mailing address
750 ALMAR PKWY STE 204, BOURBONNAIS, IL 60914-2399
(815) 214-9872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009770
IL
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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