Organization
LEEDA SERVICES OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD C. ANDERSON (PRESIDENT)
(773) 274-9760
Entity
Organization
Contact information
Practice address
1607 W HOWARD ST UNIT 400, CHICAGO, IL 60626-1675
(773) 274-9760
Mailing address
1607 W HOWARD ST UNIT 400, CHICAGO, IL 60626-1675
(773) 274-9760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
400477
IL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
Update your record
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