Organization
PERSONAL PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MANUEL (OWNER)
(630) 632-0940
Entity
Organization
Contact information
Practice address
1333 BURR RIDGE PKWY STE 200, BURR RIDGE, IL 60527-0833
(708) 400-9146
Mailing address
1333 BURR RIDGE PKWY STE 200, BURR RIDGE, IL 60527-0833
(708) 400-9146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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