Provider Demographics
NPI:1134678188
Name:MEIER CLINICS OF ILLINOIS, P.C.
Entity Type:Organization
Organization Name:MEIER CLINICS OF ILLINOIS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-653-1717
Mailing Address - Street 1:2100 MANCHESTER RD STE 1510
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4561
Mailing Address - Country:US
Mailing Address - Phone:630-653-1717
Mailing Address - Fax:
Practice Address - Street 1:3860 W OGDEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-2460
Practice Address - Country:US
Practice Address - Phone:630-653-1717
Practice Address - Fax:630-653-7926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEIER CLINICS FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060009349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty