Organization
FOOTPRINTS ELGIN IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA SABANAGIC (DIRECTOR OF REVENUE CYCLE)
(872) 810-3540
Entity
Organization
Contact information
Practice address
411 W RIVER RD, ELGIN, IL 60123-1570
(224) 523-2581
Mailing address
PO BOX 779101, CHICAGO, IL 60677-9101
(872) 810-3540
(732) 360-6394
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/07/2018
Last updated
05/15/2020
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