Organization
COMMUNITY COUNSELING CENTERS OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY A KOPERA (CEO)
(773) 769-0205
Entity
Organization
Contact information
Practice address
2525 W PETERSON AVE, CHICAGO, IL 60659-4108
(773) 506-0707
Mailing address
2525 W PETERSON AVE, CHICAGO, IL 60659-4108
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149014521
IL
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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