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Organization

HAZELDEN CHICAGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY GIBSON (VP PAYER RELATIONS)
(651) 213-4519
Entity
Organization

Contact information

Practice address
867 N DEARBORN ST, CHICAGO, IL 60610-3310
(800) 257-7800
(312) 943-3530
Mailing address
867 N DEARBORN ST, CHICAGO, IL 60610-3310
(800) 257-7810
(312) 943-3530

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-9403-0001-P
IL

Other

Enumeration date
01/02/2007
Last updated
05/16/2025
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