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Organization
STAR CONSULTING SERVICES
Active
Organization
STAR CONSULTING SERVICES
Active
Other names
Star Behavorial Health Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAVONDA LATRICE FIELDS (EXECUTIVE DIRECTOR/PRESIDENT)
(773) 680-0710
Entity
Organization
Contact information
Practice address
900 W 63RD PKWY, CHICAGO, IL 60621-2000
(773) 680-0710
Mailing address
6316 GARDEN VIEW LN # 1, MATTESON, IL 60443-2489
(773) 680-0710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477561116
NPI
—
05
—
355448094001
—
IL
Enumeration date
02/15/2019
Last updated
02/15/2019
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