Livindi Medical Group Illinois Pllc

NPI #1457038994 in Crete, Illinois

Provider Information

NPI Number: 1457038994
Entity Type: Organization
Organization Name: Livindi Medical Group Illinois Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 28, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 1328 MAIN ST
City: Crete
State: Illinois
ZIP Code: 60417-2131
Phone: (508) 416-6026

Authorized Official

Name: MR. RICHARD M WATKINS
Title: ADMINISTRATOR
Phone: (508) 416-6026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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