Organization · Type 2 NPI

Entourage Clinical Services, Inc

Professional Counselor · West Dundee, IL

NPI number 1063950822 Active

Practice location

737 S 8th St
West Dundee, IL 60118-2108

Mailing address

37 Burnett Ave
Lake Villa, IL 60046-8670

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Chiropractor 111N00000XNone listed
Nutrition Education Nutritionist 133NN1002XNone listed
General Practice Registered Nurse 163WG0000XNone listed
Pain Management Registered Nurse 163WP0000XNone listed
Acupuncturist 171100000XNone listed
Naprapath 172P00000XNone listed
Clinical Ethicist 174V00000XNone listed
Blood Banking & Transfusion Medicine Physician 207ZB0001XNone listed
General Practice Physician 208D00000XNone listed
Nurse Practitioner 363L00000XNone listed

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About NPI 1063950822

Entourage Clinical Services, Inc's National Provider Identifier is 1063950822, issued on Feb 1, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Dundee, IL. The record was last updated on Feb 23, 2017.