Organization
HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCO EDUARDO JACOME MA, LPC, CAADC, CEAP (CHIEF EXECUTIVE OFFICER)
(773) 252-3100
Entity
Organization
Contact information
Practice address
1713 S ASHLAND AVE, ROOM NO. 702-805, CHICAGO, IL 60608-2014
(773) 505-3173
(312) 746-7478
Mailing address
4734 W CHICAGO AVE, CHICAGO, IL 60651-3322
(773) 252-3100
(773) 252-8945
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12001
IDPH
IL
Enumeration date
05/22/2015
Last updated
02/21/2023
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