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Organization

JAMAL PLACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANN G DEUEL MA (EXECUTIVE DIRECTOR)
(773) 277-6631
Entity
Organization

Contact information

Practice address
1335 S CALIFORNIA AVE, CHICAGO, IL 60608
(773) 277-6631
(773) 277-7049
Mailing address
1335 S CALIFORNIA AVENUE, CHICAGO, IL 60608
(773) 277-6631
(773) 277-7049

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
267674
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2B05IPI125
IL
Enumeration date
05/01/2006
Last updated
08/22/2020
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