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Organization

LESTER & ROSALIE ANIXTER CENTER

Active
Other names
Anixter Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARY DESMOND (SR. DIRECTOR OF FINANCE)
(773) 761-1501
Entity
Organization

Contact information

Practice address
5108 W ROSCOE ST, CHICAGO, IL 60641-4204
(773) 685-7541
Mailing address
6610 N CLARK ST, CHICAGO, IL 60626-4062
(773) 761-1501
(773) 274-3523

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36224489001
IL
Enumeration date
06/20/2018
Last updated
06/09/2021
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