Organization
WESTCARE ILLINOIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY MUNROE (REGIONAL VICE PRESIDENT)
(305) 587-0316
Entity
Organization
Contact information
Practice address
1100 W CERMAK RD STE B414, CHICAGO, IL 60608-4500
(312) 568-7051
Mailing address
1100 W CERMAK RD STE B414, CHICAGO, IL 60608-4500
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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