Organization
ENVISION UNLIMITED
Active
Other names
Diversey-MH
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BLIDER (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(773) 769-4313
Entity
Organization
Contact information
Practice address
4434 W DIVERSEY AVE, CHICAGO, IL 60639-1939
(773) 506-3201
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 506-4313
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
09/08/2021
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