Fresh Start Behaviorial Center

Organization Psychiatry Physician · NPI 1184883779

Fresh Start Behaviorial Center provides Psychiatry Physician services in Sauk Village, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in: IL
In the registry since: 2008

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Practice location Address checks out

8 Surrey Brook Plz
Sauk Village, IL 60411-4913 Not confirmed with CMS for 18 years — call before visiting
Phone: (708) 757-2444
Fax: (708) 757-2449

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary)	Taxonomy 2084P0800X · Licence 36093329 (IL)

Record details

NPI number	1184883779
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Joel Carroll — Medical Director · (708) 757-2444
NPI enumerated	June 9, 2008
Last updated in NPPES	June 9, 2008
Mailing address	8 Surrey Brook Plz, Sauk Village, IL 60411-4913