Organization
ACUTE MANTIS CARE
Active
Organization
ACUTE MANTIS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA TIRAN (PRESIDENT)
(773) 541-1826
Entity
Organization
Contact information
Practice address
7800 N MILWAUKEE AVE, NILES, IL 60714-3124
(312) 809-0777
(773) 492-8783
Mailing address
6050 N CALIFORNIA AVE, CHICAGO, IL 60659-3916
(312) 809-0777
(847) 675-6092
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
10/17/2023
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