Organization
INSTITUTE FOR MOTIVATIONAL DEVELOPMENT OF ILLINOIS LTD
Active
Other names
The Marriage Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ZEPEDA MS, LPC (DIRECTOR)
(630) 627-5000
Entity
Organization
Contact information
Practice address
10 E 22ND ST STE 210, LOMBARD, IL 60148-6108
(630) 627-5000
(630) 627-5032
Mailing address
10 E 22ND ST STE 210, LOMBARD, IL 60148-6108
(630) 627-5000
(630) 627-5032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215154
BCBS OF ILLINOIS
IL
Enumeration date
02/12/2007
Last updated
05/16/2008
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