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Organization

ERIE FAMILY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALMUDENA RUIZ MA, LCPC, CADC (CLINICAL DIRECTOR-BH)
(312) 432-7374
Entity
Organization

Contact information

Practice address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 666-3494
(773) 276-0749
Mailing address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 666-3494
(773) 276-0749

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149013910
IL

Other

Enumeration date
07/07/2014
Last updated
07/07/2014
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