Organization
RINCON FAMILY SERVICES
Active
Other names
Rincon Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
367 S SCHUYLER AVE, KANKAKEE, IL 60901-3811
(815) 386-5586
Mailing address
3942 W NORTH AVE, CHICAGO, IL 60647-4639
(773) 564-9070
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14003
—
IL
Enumeration date
07/12/2021
Last updated
07/12/2021
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