Organization
UCP SEGUIN GREATER CHICAGO
Active
Parent organization
UCP SEGUIN GREATER CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
UCP SEGUIN GREATER CHICAGO
Authorized official
DONNA ROBINSON (CLINICAL SERVICES ADMINISTRATOR)
(708) 863-3803
Entity
Organization
Contact information
Practice address
7550 W. 183RD, TINLEY PARK, IL 60477
(708) 863-3803
Mailing address
3100 S. CENTRAL AVE., CICETO, IL 60804
(708) 863-3803
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#2B051P1166
—
IL
Enumeration date
01/20/2016
Last updated
01/20/2016
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