Organization
PILSEN PSYCHIATRIC CLINIC & ASSOCIATES LLC
Active
Other names
Hope Community and Family Center of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
KRISH VENOO MD (OWNER)
(312) 564-5246
Entity
Organization
Contact information
Practice address
3350 S KEDZIE AVE, CHICAGO, IL 60623-5114
(312) 564-5246
(312) 564-5253
Mailing address
3350 S KEDZIE AVE, CHICAGO, IL 60623-5114
(312) 564-5246
(312) 564-5253
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248000794
—
IL
Enumeration date
04/25/2016
Last updated
08/31/2016
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