Unknown Individual – Professional Counselor, NPI 1053575928
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
328, South Oak Street, Manteno, Kankakee County, Illinois, 60950, United States
MANTENO, IL 609501606
Phone: (815) 468-8600
Type: Mailing
Court Street, Kankakee, Kankakee County, Illinois, 60901, United States
KANKAKEE, IL 60901
Phone: (815) 933-2240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60950)
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