Organization
WESTSIDE INTERVENTION NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL T JACKSON (EXECUTIVE DIRECTOR)
(773) 640-2322
Entity
Organization
Contact information
Practice address
4937 W IOWA ST, CHICAGO, IL 60651-3113
(773) 640-2322
Mailing address
4937 W IOWA ST, CHICAGO, IL 60651-3113
(773) 640-2322
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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