Doctor Name: | TERESA MARIE ABELS |
NPI Number: | 1003280553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHP |
License Number: | |
Business Practice Address: | 777 Joyce Rd Joliet, IL - 604361876 |
Business Phone Number: | 8157276666 |
Business Fax Number: | |
Mailing Address: | 777 Joyce Rd, JOLIET |
State: | IL |
Postal Code: | 604361876 |
Phone Number: | 8157276666 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2015 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |