Ten Broeck Tennessee Physicians Group INC

NPI #1518543248 in Princeton, Illinois

Provider Information

NPI Number
1518543248
Entity Type
Organization
Organization Name
Ten Broeck Tennessee Physicians Group INC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Mar 23, 2021
Last Updated
Mar 23, 2021

Practice Location

Address
530 PARK AVE E
ZIP Code
61356-3901
Phone
(815) 876-2004

Authorized Official

Name
KARISSA HUTSON
Title
BUSINESS OFFICE
Phone
(931) 319-4231

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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