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Organization
UCP SEGUIN OF GREATER CHICAGO
Active
Organization
UCP SEGUIN OF GREATER CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LEONARD FOLEY (SENIOR VICE PRESIDENT)
(708) 222-4248
Entity
Organization
Contact information
Practice address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 222-4248
(708) 222-0478
Mailing address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 222-4248
(708) 222-0478
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
06/13/2023
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