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Organization

NORTHWEST RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD KHAMIS (PRESIDENT/CEO)
(773) 353-5047
Entity
Organization

Contact information

Practice address
5352 N LINCOLN AVE STE 250, CHICAGO, IL 60625-2316
(773) 353-5047
Mailing address
5352 N LINCOLN AVE STE 250, CHICAGO, IL 60625-2316
(773) 353-5047

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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