Organization
ELITE TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE ELLIS (PROGRAM DIRECTOR)
(708) 781-3155
Entity
Organization
Contact information
Practice address
395 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2442
(773) 597-7698
Mailing address
395 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2442
(773) 597-7698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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