BEN GORDON CENTER
Ambulatory Health at Health Services Dr, Dekalb, IL

License number
Illinois A0254001A
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MRS. KIMBERLY KRUPPENBACHER
Title: CREDENTIALING COORDINATOR
Phone: (815) 756-4875
Address
Address
12 Health Services Dr, Dekalb, IL 60115
National Provider ID: 1700037512
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BEN GORDON CENTER at bizstanding.com

Ben Gordon Center

631 S 1 St, Dekalb, IL 60115

Industry:
Specialty Outpatient Clinic Psychiatric Hospital
Doing business as:
Reality House
Phone:
(815) 756-8501 (Phone)
Managers:
Michael Flora (President),Merlin Wessels Director, Medical Director, inactive,Heather Mucha Manager, inactive

Ben Gordon Center Fdn Inc

12 Health Services Dr, Dekalb, IL 60115

Status:
Inactive
Industry:
Nonclassifiable Establishments

Ben Gordon Center Foundation Inc

12 Health Services Dr, Dekalb, IL 60115

Status:
Inactive
Industry:
Nonclassifiable Establishments

Ambulatory Health licenses in Illinois






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