Edgewood Clinical Services, P.C. in Naperville - Mental Health
Edgewood Clinical Services, P.C. - NPI 1295914646
Edgewood Clinical Services, P.C. is a Mental Health in Naperville, Illinois. Edgewood Clinical Services, P.C. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Edgewood Clinical Services, P.C. is 1295914646. The last update date is 2023-06-02.
Edgewood Clinical Services, P.C.'s current location address is 1288 Rickert Dr, Naperville, Illinois. You can contact this provider via phone number 6304287890. The mailing address for Edgewood Clinical Services, P.C. is 1288 Rickert Dr, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgewood Clinical Services, P.C. |
|---|---|
| Address | 1288 Rickert Dr, Naperville, Illinois |
| Phone Number | 6304287890 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF LEGA |
|---|---|
| Authorized Official Name | Pardo Ryan |
| Telephone Number | 2063991493 |
NPI Number Detail
| NPI Number | 1295914646 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2023-06-02 |
Provider Mailing Address Detail
| Address | 1288 Rickert Dr |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605400951 |
| Phone Number | 6304287890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique provider identifier assigned to Edgewood Clinical Services, P.C.?
The Edgewood Clinical Services, P.C. has been issued the NPI (National Provider Identifier) 1295914646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Edgewood Clinical Services, P.C. located?
The Edgewood Clinical Services, P.C. is located at 1288 Rickert Dr, Naperville, IL 605400951.
What is Edgewood Clinical Services, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edgewood Clinical Services, P.C. is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295914646 to Edgewood Clinical Services, P.C.?
The Edgewood Clinical Services, P.C. received its 1295914646 assignment from the Centers for Medicare & Medicaid Services on 2007-11-01.
As of what date were the Edgewood Clinical Services, P.C.'s details last updated?
The information pertaining to the Edgewood Clinical Services, P.C., including its address, specialty, and other details, was most recently updated on 2023-06-02.