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Organization
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Active
Organization
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Active
Other names
CDPH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAI M JACKSON (DIRECTOR OF REVENUE)
(317) 747-9443
Entity
Organization
Contact information
Practice address
NORTHWEST MENTAL HEALTH CENTER, 2354 N MILWAUKEE, CHICAGO, IL 60647
(312) 744-0993
(312) 744-7737
Mailing address
333 SOUTH STATE STREET REVENUE, #200, CHICAGO, IL 60604
(312) 747-9443
(312) 747-9447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Enumeration date
08/15/2005
Last updated
08/22/2020
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