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Organization
ENVISION UNLIMITED
Active
Organization
ENVISION UNLIMITED
Active
Parent organization
ENVISION UNLIMITED
Other names
Leland
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVISION UNLIMITED
Authorized official
LINDA A BRUGGEMANN LPC (BILLING COORDINATOR)
(773) 506-3201
Entity
Organization
Contact information
Practice address
2728 W LELAND AVE, CHICAGO, IL 60625
(773) 676-2145
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 506-3201
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
320800000X
Mental Illness Community Based Residential Treatment Facility
—
IL
Other
Enumeration date
06/04/2018
Last updated
08/16/2018
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