Organization
THERAPY ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MAGIDA (OWNER)
(224) 558-2722
Entity
Organization
Contact information
Practice address
1217 MCHENRY RD STE 236, BUFFALO GROVE, IL 60089-1379
(847) 807-8777
Mailing address
1217 MCHENRY RD STE 236, BUFFALO GROVE, IL 60089-1379
(847) 807-8777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.010603
IL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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