Organization
REALITY TALK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE WASHINGTON M.D. (PRESIDENT)
(630) 328-3571
Entity
Organization
Contact information
Practice address
1808 S STATE ST, CHICAGO, IL 60616-1611
(312) 949-1340
(312) 949-1348
Mailing address
1507 E 53RD ST, #275, CHICAGO, IL 60615-4573
(630) 328-3571
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
036-085290
IL
261QM0850X
Adult Mental Health Clinic/Center
Primary
036-085290
IL
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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