Organization
CORNELL INTERVENTIONS, INC.
Active
Other names
cornell companies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN PETER SWATSBURG (DIVISIONAL VICE PRESIDENT)
(412) 201-4111
Entity
Organization
Contact information
Practice address
5701 S WOOD ST, CHICAGO, IL 60636-1646
(773) 737-4600
Mailing address
5701 S WOOD ST, CHICAGO, IL 60636-1646
(773) 737-4600
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-8981-0003-A
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-8981-003-A
IL
Other
Enumeration date
01/24/2007
Last updated
08/19/2016
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