Organization
THRESHOLDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ZIPPLE (CEO)
(773) 572-5500
Entity
Organization
Contact information
Practice address
1703 NORTH SHERIDAN, CHICAGO, IL 60626
(773) 572-5500
Mailing address
1703 NORTH SHERIDAN #507, CHICAGO, IL 60626
(773) 572-5500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04133
IL
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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