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Organization

ERC/INSIGHT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEVILA MCDOUGAL (COO)
(773) 321-2757
Entity
Organization

Contact information

Practice address
333 N MICHIGAN AVE, SUITE 1900, CHICAGO, IL 60601-3901
(312) 767-0467
Mailing address
333 N MICHIGAN AVE, SUITE 1900, CHICAGO, IL 60601-3901

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
164006493
IL

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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