Organization
KING COMMUNITY MENTAL HEALTH CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROUEEN RAFEYAN MD (OWNER)
(773) 536-2700
Entity
Organization
Contact information
Practice address
4455 S KING DRIVE, SUITE 101, CHICAGO, IL 60653-3310
(773) 536-2700
(773) 751-2250
Mailing address
4455 S KING DRIVE, SUITE 101, CHICAGO, IL 60653-3310
(773) 536-2700
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036089152
IL
Other
Enumeration date
02/24/2009
Last updated
06/25/2009
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