Organization
COUNSELING ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JOHN SKIBA PSYD (CLINICAL PSYCHOLOGIST)
(708) 721-8442
Entity
Organization
Contact information
Practice address
121 S WILKE RD STE 205, ARLINGTON HEIGHTS, IL 60005-1525
(708) 721-8442
Mailing address
10655 YELLOWSTONE DR, HUNTLEY, IL 60142-8171
(708) 721-8442
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
071007241
IL
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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