Supportive Care of Illinois PC
Supportive Care of Illinois PC is a Clinical Psychologist in Marshall, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
410 N 2nd StMarshall, IL 62441-1010
Phone: (866) 708-1240
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1861199911 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dov Newmark — Ceo · (718) 298-2753 |
| NPI enumerated | February 9, 2023 |
| Last updated in NPPES | February 9, 2023 |
| Certification date | February 8, 2023 |
| Mailing address | 27 Randolph Rd, Howell, NJ 07731-8611 |