COMMUNITY CLINIC CENTER LTD NPI 1881878494

NPI Information

  • NPI: 1881878494
  • Provider Name: COMMUNITY CLINIC CENTER, LTD
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 666 RUSSEL CT
    SUITE 105
    WOODSTOCK, IL
    ZIP 60098
  • Phone: (815) 338-7749

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NPI Details

COMMUNITY CLINIC CENTER, LTD is a mental health (including community mental health center) clinic center in Woodstock, IL. COMMUNITY CLINIC CENTER, LTD NPI is 1881878494. The provider is registered as an organization entity type.

The provider's business location address is:

666 RUSSEL CT
SUITE 105
WOODSTOCK, IL
ZIP 60098-670
Phone: (815) 338-7749
Fax: (815) 338-7728

The provider's authorized official is Robert L Meyer .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (815) 338-7749.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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