Organization
BEVERLY GROUP MENTAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RIGGIO LCSW,MSW,MS,CADC (PRESIDENT)
(773) 490-0576
Entity
Organization
Contact information
Practice address
4444 S BERKELEY AVE, CHICAGO, IL 60653-3610
(773) 490-0576
(773) 303-8345
Mailing address
PO BOX 4811, CHICAGO, IL 60680-4811
(773) 490-0576
(773) 303-8345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149010964
IL
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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