Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO CORREA (PRESIDENT / CHIEF EXECUTIVE OFFICER)
(773) 564-9070
Entity
Organization
Contact information
Practice address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
Mailing address
515 N NOBLE ST APT 105, CHICAGO, IL 60642-7400
(773) 909-9096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
150.015028
IL
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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