Organization
CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC
Active
Parent organization
CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC
Other names
DBA - Chicago Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC
Authorized official
NICHOLAS PAPONOS MD (MEDICAL DIRECTOR/DIRECTOR OF CLINIC)
(773) 237-8722
Entity
Organization
Contact information
Practice address
8926 GREENWOOD, SUITE 167, NILES, IL 60714
(773) 699-8992
Mailing address
8926 GREENWOOD AVENUE, SUITE 167, NILES, IL 60714
(773) 699-8992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0360919742
IL
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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