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Organization
EXCEPTIONAL CASE MANAGEMENT LLC
Active
Organization
EXCEPTIONAL CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA ODANIEL PHD (CEO)
(773) 236-6511
Entity
Organization
Contact information
Practice address
12904 DIVISION ST APT 2A, BLUE ISLAND, IL 60406-3420
(773) 236-6511
Mailing address
12904 DIVISION ST APT 2A, BLUE ISLAND, IL 60406-3420
(773) 236-6511
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851999080
—
IL
Enumeration date
10/12/2020
Last updated
10/12/2020
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