Organization
OAK ROOTS DYNAMIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CORSO LCSW (DIRECTOR)
(224) 436-7392
Entity
Organization
Contact information
Practice address
675 N NORTH CT, SUITE 272, PALATINE, IL 60067-8157
(224) 436-7392
(847) 398-7831
Mailing address
675 N NORTH CT, SUITE 272, PALATINE, IL 60067-8157
(224) 436-7392
(847) 398-7831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.012248
IL
Other
Enumeration date
04/01/2016
Last updated
03/10/2017
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