Organization
ENVISION UNLIMITED
Active
Parent organization
ENVISION UNLIMITED
Other names
Diversey
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVISION UNLIMITED
Authorized official
NATALIE BLIDER (DIRECTOR OF REVENUE CYCLE MGMT)
(773) 769-4313
Entity
Organization
Contact information
Practice address
4434 W DIVERSEY AVE, CHICAGO, IL 60639-1939
(773) 506-3201
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 506-4313
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
09/08/2021
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