Organization
TASC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL SELENA HEDGLEY (ADMINISTRATOR)
(312) 573-2957
Entity
Organization
Contact information
Practice address
700 S CLINTON ST, CHICAGO, IL 60607-4350
(312) 787-0208
(312) 787-9663
Mailing address
700 S CLINTON ST, CHICAGO, IL 60607-4350
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/14/2022
Last updated
10/26/2022
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