SearchIllinois101Y00000X

Justin Bartlett, BA

NPI 1881136398 · on the registry since 2016 · sole proprietor

Practice

Address
631 S 1st St
Dekalb, IL 60115
Phone
(815) 756-8501
Organisation at this address
Ben Gordon Center
Community Support Program/Reality House
Dekalb Behavioral Health Foundation, Inc.
Dekalb Behavioral Health Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2016-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois