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Organization
ENVISION UNLIMITED
Active
Organization
ENVISION UNLIMITED
Active
Parent organization
ENVISION UNLIMITED
Other names
Washtenaw, 3N
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
2646 N WASHTENAW AVE # 3N, CHICAGO, IL 60647
(773) 676-2139
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
1991000687C
IL
Other
Enumeration date
05/31/2018
Last updated
08/16/2018
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