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Organization

ALPHA OMEGA AMERICA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FLORENTINE FRANCES WILK PSYD (PRESIDENT)
(847) 931-9455
Entity
Organization

Contact information

Practice address
75 MARKET ST, STE. 14, ELGIN, IL 60123-5093
(847) 931-9455
Mailing address
PO BOX 747, WEST DUNDEE, IL 60118-0747
(847) 931-9455

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
01/27/2010
Last updated
05/06/2010
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