Organization
HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Active
Organization
HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCO EDUARDO JACOME MA, LPC, CADC, 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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0589-0014-A
SUPR
IL
Enumeration date
05/28/2015
Last updated
02/21/2023
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