Organization
ADA S MCKINLEY COMMUNITY SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN FRIES (SR DIR QA&C)
(773) 469-2046
Entity
Organization
Contact information
Practice address
8741 S GREENWOOD AVE FL 2, CHICAGO, IL 60619-7061
(773) 918-6100
Mailing address
1359 W. WASHINGTON BOULEVARD, CHICAGO, IL 60607-1905
(312) 385-2000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
01/16/2024
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