Organization
CIRCLE FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JACKSON (CFO)
(773) 379-1000
Entity
Organization
Contact information
Practice address
5002 W MADISON ST, CHICAGO, IL 60644-4127
(773) 379-1000
(773) 379-1342
Mailing address
5002 W MADISON ST, CHICAGO, IL 60644-4127
(773) 379-1000
(773) 379-1342
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
23624
IL
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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