Organization
394567 D NORTH
Active
Parent organization
IL DEPT OF HUMAN SERVICES
Other names
Chicago Read Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IL DEPT OF HUMAN SERVICES
Authorized official
MS. ANGIE C TANSOR (REIMBURSEMENT OFFICER I)
(773) 794-3733
Entity
Organization
Contact information
Practice address
4200 NORTH OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-3733
(773) 794-4046
Mailing address
4200 NORTH OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-3733
(773) 794-4046
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
06/19/2008
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