Organization
THE DISCOVERY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN R RICHMAN MA (CO-PRESIDENT)
(847) 901-0909
Entity
Organization
Contact information
Practice address
1306 WAUKEGAN RD, #210, GLENVIEW, IL 60025-3072
(847) 901-0909
(847) 901-0910
Mailing address
1306 WAUKEGAN RD, #210, GLENVIEW, IL 60025-3072
(847) 901-0909
(847) 901-0910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458586
NEUROFEEDBACK
IL
05
—
523520036001
—
IL
Enumeration date
04/11/2007
Last updated
08/09/2011
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