institution
Bold Spark, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Streamwood, Illinois
NPI 1043072218

Bold Spark, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bartlett, IL and is specialized in Mental Health (Including Community Mental Health Center). Bold Spark, Inc. practices in Streamwood, IL. The NPI Number for Bold Spark, Inc. is 1043072218 and holds a License No. (Illinois).

The current practice location address for Bold Spark, Inc. is 820 S Bartlett Rd Ste 106B, Streamwood, IL and can be reached out via phone at 224-318-7554. You can also correspond with Bold Spark, Inc. through the mailing address at 218 GINGERBROOK LN, BARTLETT, IL - 60103-4624 (mailing address contact number: 630-329-6709).

Location: 820 S Bartlett Rd Ste 106B, Streamwood, IL, 60103-4624
institution
Provider Profile Details
NPI Number
1043072218
Provider Name
Bold Spark, Inc.
Credential
Provider Entity Type
Organization
Address
820 S Bartlett Rd Ste 106B, Streamwood, IL, 60103-4624
Phone Number
224-318-7554
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245414465 01 NPI
institution
Provider Business Practice Location Address Details
Address
820 S Bartlett Rd Ste 106B
City
State
Zip
60107-2407
Phone Number
224-318-7554
Fax Number
person
Provider Business Mailing Address Details
Address
218 Gingerbrook Ln
City
State
Zip
60103-4624
Phone Number
630-329-6709
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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