Organization
COMMUNITY COUNSELING CENTERS OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN DURKIN (PRESIDENT & CEO)
(773) 765-0810
Entity
Organization
Contact information
Practice address
1123 EMERSON ST, EVANSTON, IL 60201-3100
(224) 356-0356
(224) 356-0358
Mailing address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
(773) 765-0794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04029
IL
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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