Organization
THE THRESHOLDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA KLAUER (EXECUTIVE ASSISTANT)
(773) 572-5480
Entity
Organization
Contact information
Practice address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04133
—
IL
Enumeration date
08/21/2008
Last updated
07/14/2022
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