Organization
CIRCLE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN PETTIFORD (PRESIDENT & CEO)
(773) 379-1000
Entity
Organization
Contact information
Practice address
5002 W MADISON ST, CHICAGO, IL 60644-4127
(773) 379-1000
Mailing address
4909 W DIVISION ST, STE 307, CHICAGO, IL 60651-3161
(773) 379-1000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
04/20/2008
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