Organization
ORCHARD VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GENTILE (VICE PRESIDENT)
(847) 967-1800
Entity
Organization
Contact information
Practice address
7660 GROSS POINT RD, SKOKIE, IL 60077-2613
(847) 967-1800
Mailing address
7660 GROSS POINT RD, SKOKIE, IL 60077-2613
(847) 967-1800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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