Organization
395061 MED EVAL
Active
Parent organization
IDHS CHICAGO-READ MENTAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDHS CHICAGO-READ MENTAL HEALTH CENTER
Authorized official
MS. ANGIE C TANSOR (REIMBURSEMENT OFFICER I)
(773) 794-3733
Entity
Organization
Contact information
Practice address
4200 NORTH OAK PARK AVENUE, CHICAGO, IL 60634-1417
(773) 794-3733
(773) 794-4046
Mailing address
4200 NORTH OAK PARK AVENUE, CHICAGO, IL 60634-1417
(773) 794-3733
(773) 794-4046
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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