Organization
INSIGHT THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MUKLEWICZ MS ED, NCC, LCPC (OWNER/CLINICIAN)
(847) 752-9969
Entity
Organization
Contact information
Practice address
27W140 ROOSEVELT RD, SUITE 205, WINFIELD, IL 60190-1642
(847) 752-9969
(847) 628-0791
Mailing address
27W140 ROOSEVELT RD, SUITE 205, WINFIELD, IL 60190-1642
(847) 752-9969
(847) 628-0791
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180006950
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11876841
CAQH
—
Enumeration date
09/26/2013
Last updated
09/26/2013
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