Organization
ENTOURAGE CLINICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE E DILLON LCPC, NCC, CADC (PRESIDENT)
(847) 393-5646
Entity
Organization
Contact information
Practice address
697 S LAKE ST, MUNDELEIN, IL 60060-3658
(847) 406-0789
Mailing address
37 BURNETT AVE, LAKE VILLA, IL 60046-8670
(847) 393-5646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
111N00000X
Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WG0000X
General Practice Registered Nurse
—
—
171100000X
Acupuncturist
—
—
172P00000X
Naprapath
—
—
174V00000X
Clinical Ethicist
—
—
175F00000X
Naturopath
—
—
208D00000X
General Practice Physician
—
—
246RP1900X
Phlebotomy Technician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/01/2017
Last updated
02/23/2017
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