Organization
THE COMMUNITY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA FORTHOFER (EXECUTIVE DIRECTOR)
(630) 323-7500
Entity
Organization
Contact information
Practice address
415 W 8TH ST, HINSDALE, IL 60521-4451
(630) 323-7500
(630) 323-7510
Mailing address
415 W 8TH ST, HINSDALE, IL 60521-4451
(630) 323-7500
(630) 323-7510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002222087
BCBS PROVIDER NUMBER
IL
Enumeration date
03/02/2007
Last updated
08/22/2020
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