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Nicasa Nfp
Mental Health Clinic/Center (Including Community Mental Health Center) in Round Lake, Illinois
NPI 1952798431

Nicasa Nfp is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Round Lake, IL and is specialized in Mental Health (Including Community Mental Health Center). Nicasa Nfp practices in Round Lake, IL. The NPI Number for Nicasa Nfp is 1952798431 and holds a License No. 14012 (Illinois).

The current practice location address for Nicasa Nfp is 31979 N Fish Lake Rd, Round Lake, IL and can be reached out via phone at 847-546-6450 and via fax at 847-546-6760.

Location: 31979 N Fish Lake Rd, Round Lake, IL, 60073-9517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952798431
Provider Name
Nicasa Nfp
Credential
Provider Entity Type
Organization
Address
31979 N Fish Lake Rd, Round Lake, IL, 60073-9517
Phone Number
847-546-6450
Fax Number
847-546-6760
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31979 N Fish Lake Rd
City
Round Lake
State
Illinois
Zip
60073-9517
Phone Number
847-546-6450
Fax Number
847-546-6760
person
Provider Business Mailing Address Details
Address
31979 N Fish Lake Rd
City
Round Lake
State
Illinois
Zip
60073-9517
Phone Number
847-546-6450
Fax Number
847-546-6760
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
14012 (Illinois)
Definition
Definition to come...
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