institution
Jamie Mirocha Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Plainfield, Illinois
NPI 1073024576

Jamie Mirocha Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Plainfield, IL and is specialized in Mental Health (Including Community Mental Health Center). Jamie Mirocha Inc. practices in Plainfield, IL. The NPI Number for Jamie Mirocha Inc. is 1073024576 and holds a License No. 149017464 (Illinois).

The current practice location address for Jamie Mirocha Inc. is 24012 W Renwick Road, Plainfield, IL and can be reached out via phone at 815-676-4688 and via fax at 815-676-4498.

Location: 24012 W Renwick Road, Plainfield, IL, 60544-8731
institution
Provider Profile Details
NPI Number
1073024576
Provider Name
Jamie Mirocha Inc.
Credential
Provider Entity Type
Organization
Address
24012 W Renwick Road, Plainfield, IL, 60544-8731
Phone Number
815-676-4688
Fax Number
815-676-4498
Provider Enumeration Date
10/24/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24012 W Renwick Road
City
State
Zip
60544
Phone Number
815-676-4688
Fax Number
815-676-4498
person
Provider Business Mailing Address Details
Address
24012 W Renwick Road
City
State
Zip
60544
Phone Number
815-676-4688
Fax Number
815-676-4498
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.
149017464 (Illinois)
Definition
Definition to come...
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