Organization
SPARROW'S SPRING CLINICAL SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA E KANNENWISCHER (PRESIDENT AND OWNER)
(630) 200-9468
Entity
Organization
Contact information
Practice address
75 EXECUTIVE DR, SUITE 401F, AURORA, IL 60504-8137
(630) 200-9468
Mailing address
75 EXECUTIVE DR, SUITE 401F, AURORA, IL 60504-8137
(630) 200-9468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001002
IL
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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