Organization
THRESHOLDS
Active
Parent organization
THRESHOLDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRESHOLDS
Authorized official
TONY ZIPPLE SC.D, MBA (CHIEF EXECUTIVE OFFICER)
(773) 572-5220
Entity
Organization
Contact information
Practice address
1416 W MORSE AVE, CHICAGO, IL 60626-3480
(773) 572-5500
(773) 537-3488
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5500
(773) 537-3488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
09/23/2008
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