Restore Change Llc

LBN: Restore Change Llc
Restore Change Llc is an health care organization with primary practice located at 1011 E Wilson Ave , Lombard IL 60148-3765. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Restore Change Llc can be contacted via phone (630) 708-0120, or through Khan, Fahad via phone (630) 708-0120.

Contact Information

Primary practice address
1011 E Wilson Ave Lombard IL 60148-3765
Phone: (630) 708-0120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khan, Fahad PSYD
Phone: (630) 708-0120

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1356946008
LBN Legal business name Restore Change Llc
DBA Doing business as
Authorized official Khan, Fahad PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2020
Last updated Dec 1st, 2020 - about 5 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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