Organization
MIDWEST FAMILY AND COMMUNITY RESOURCES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EMIL THURMAN LCSW (OWNER, LCSW)
(708) 745-3040
Entity
Organization
Contact information
Practice address
3330 W 177TH ST FL 1, HAZEL CREST, IL 60429-2184
(708) 745-3040
(708) 799-1889
Mailing address
3330 W 177TH ST FL 1, HAZEL CREST, IL 60429-2184
(708) 745-3040
(708) 799-1889
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
01/11/2021
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