Edgewood Clinical Services Of Plainfield

LBN: Edgewood Clinical Services Of Plainfield
Edgewood Clinical Services Of Plainfield is an health care organization with primary practice located at 14722 S Naperville Rd Suite 112, Plainfield IL 60544-3302. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Edgewood Clinical Services Of Plainfield can be contacted via phone (630) 428-7890, or through Russo, Adam via phone (630) 428-7890.

Contact Information

Primary practice address
14722 S Naperville Rd Suite 112 Plainfield IL 60544-3302
Fax:
Website:
Authorized official contact:
Name: Russo, Adam Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149010253 Illinois

Profile Details

NPI number 1043464803
LBN Legal business name Edgewood Clinical Services Of Plainfield
DBA Doing business as
Authorized official Russo, Adam Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2008
Last updated Nov 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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