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Organization
EVOLVING COMMUNITY CENTERS
Active
Organization
EVOLVING COMMUNITY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE WALKE (DIRECTOR)
(312) 489-4715
Entity
Organization
Contact information
Practice address
200 E 75TH ST STE 600, CHICAGO, IL 60619-2284
(312) 489-4715
Mailing address
200 E 75TH ST STE 600, CHICAGO, IL 60619-2284
(312) 489-4715
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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