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NPI Code Detail

MEDICARE: PIONEER CENTER FOR HUMAN SERVICES

MEDICARE: PIONEER CENTER FOR HUMAN SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1891828976
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER CENTER FOR HUMAN SERVICES
Provider Business Mailing Address
First Line : 4031 W DAYTON ST
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8377
Country : US
Telephone Number : 815-344-1230
Fax Number : 815-344-3815
Provider Business Practice Location Address
First Line : 4001 W DAYTON ST
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8377
Country : US
Telephone Number : 815-344-1230
Fax Number : 815-344-3815
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. FRANK SAMUEL
Credential :
Telephone Number : 815-344-1230
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/26/2021

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Directions to “PIONEER CENTER FOR HUMAN SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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