Organization
RINCON FAMILY SERVICES
Active
Other names
El Rincon Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
(773) 564-9197
Mailing address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
(773) 564-9197
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
10/07/2016
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