Organization
ENHANCED CLINICAL SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MICHAEL JORDAN (PRESIDENT)
(708) 344-0884
Entity
Organization
Contact information
Practice address
1701 S 1ST AVE, SUITE# 310, MAYWOOD, IL 60153-2442
(708) 344-0884
(708) 343-5629
Mailing address
1701 S 1ST AVE, MAYWOOD, IL 60153-2442
(708) 344-0884
(708) 343-5629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-4749-0001-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-4749-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-4749-0001-A
DEPARTMENT OF ALCOHOL AND SUBSTANCE ABUSE
IL
Enumeration date
05/12/2008
Last updated
06/21/2016
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