The Tabor Therapy Group, Inc.

LBN: The Tabor Therapy Group, Inc.
The Tabor Therapy Group, Inc. is an health care organization with primary practice located at 5404 W Elm St Ste H , Mchenry IL 60050-4007. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. The Tabor Therapy Group, Inc. can be contacted via phone (815) 331-8768, or through Richelson, Elliott via phone (941) 444-1730.

Contact Information

Primary practice address
5404 W Elm St Ste H Mchenry IL 60050-4007
Phone: (815) 331-8768
Fax: (815) 331-8760
Website:
Map and Directions
Authorized official contact:
Name: Richelson, Elliott Doctor of Medicine (MD)
Phone: (941) 444-1730

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1023546710
LBN Legal business name The Tabor Therapy Group, Inc.
DBA Doing business as
Authorized official Richelson, Elliott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2017
Last updated May 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023546710 NPPES
Illinois MEDICAID 2B17-IPI-002

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