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NPI Code Detail

MEDICARE: ARTWELL THERAPY CENTER L.L.C.

MEDICARE: ARTWELL THERAPY CENTER L.L.C.
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11942924394OTHERGROUP NPI
21851752679OTHERINDIVIDUAL NPI

General Provider Information

NPI Number : 1942924394
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTWELL THERAPY CENTER L.L.C.
Provider Business Mailing Address
First Line : 3325 N ARLINGTON HEIGHTS RD STE 400C
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1576
Country : US
Telephone Number : 312-872-8210
Fax Number :
Provider Business Practice Location Address
First Line : 3325 N ARLINGTON HEIGHTS RD STE 400C
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1576
Country : US
Telephone Number : 847-525-7504
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. REBECCA IRMEN
Credential : LCPC
Telephone Number : 312-872-8210
Provider Enumeration Date : 09/29/2022
Last Update Date : 02/24/2024

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Directions to “ARTWELL THERAPY CENTER L.L.C. ” Practice Location

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