institution
Midwest Neurofitness
Professional Counselor in Champaign, Illinois
NPI 1447382932

Midwest Neurofitness is a Professional Counselor based in Charleston, IL and is specialized in Professional. Midwest Neurofitness practices in Champaign, IL. The NPI Number for Midwest Neurofitness is 1447382932 and holds a License No. 180-002663 (Illinois).

The current practice location address for Midwest Neurofitness is 313 N Mattis Ave, Champaign, IL and can be reached out via phone at 217-348-1086 and via fax at 217-355-4012.

Location: 313 N Mattis Ave, Champaign, IL, 61920-0584
institution
Provider Profile Details
NPI Number
1447382932
Provider Name
Midwest Neurofitness
Credential
Provider Entity Type
Organization
Address
313 N Mattis Ave, Champaign, IL, 61920-0584
Phone Number
217-348-1086
Fax Number
217-355-4012
Provider Enumeration Date
03/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01532018 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
313 N Mattis Ave
City
State
Zip
61821-2460
Phone Number
217-348-1086
Fax Number
217-355-4012
person
Provider Business Mailing Address Details
Address
313 N Mattis Ave
City
State
Zip
61821-2460
Phone Number
217-348-1086
Fax Number
217-355-4012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-002663 (Illinois)
Definition
Definition to come...
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