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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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