Supportive Care of Illinois PC
NPI #1861199911 in Marshall, Illinois
Provider Information
- NPI Number
- 1861199911
- Entity Type
- Organization
- Organization Name
- Supportive Care of Illinois PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 9, 2023
- Last Updated
- Feb 9, 2023
Practice Location
Authorized Official
- Name
- DOV NEWMARK
- Title
- CEO
- Phone
- (718) 298-2753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Nurse Practitioner |
| Psychologist - Clinical — Clinical |
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