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Contact Information

RESTORE COUNSELING & RECOVERY, INC.
7399 FOREST HILLS RD
LOVES PARK, IL61111-3974
 Phone: 815-708-7392
 Fax: 815-708-8248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for RESTORE COUNSELING & RECOVERY, INC.

NPI Number 1588909923
LBN Legal business name RESTORE COUNSELING & RECOVERY, INC.
Authorized official THOMAS MLODZIK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2012
Last updated 08/18/2023 - About 3 years ago
Identifiers
IL License # 149012902
IL License # 166000729
IL License # 27402
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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