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Organization

PHOS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA EVANGELOPOULOS (CEO)
(312) 925-4651
Entity
Organization

Contact information

Practice address
5724 W 95TH ST, OAK LAWN, IL 60453-2359
(312) 291-1505
Mailing address
15826 S LA GRANGE RD STE 122, ORLAND PARK, IL 60462-7793
(312) 925-4651

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
02/08/2023
Last updated
04/17/2023
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