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Organization
ENVISION UNLIMITED
Active
Organization
ENVISION UNLIMITED
Active
Parent organization
ENVISION UNLIMITED
Other names
Envision Wellness Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVISION UNLIMITED
Authorized official
NATALIE A BLIDER (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(773) 506-3014
Entity
Organization
Contact information
Practice address
4411 N RAVENSWOOD AVE FL 1, CHICAGO, IL 60640-5802
(773) 506-4313
(773) 769-1476
Mailing address
4411 N RAVENSWOOD AVE FL 1, CHICAGO, IL 60640-5802
(773) 506-4313
(773) 769-1476
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
18004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18004
—
IL
Enumeration date
05/30/2018
Last updated
12/13/2022
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