Organization
SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN JOSEPH SANDUSKY MA MBA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(708) 647-3300
Entity
Organization
Contact information
Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3333
(708) 957-2614
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3333
(708) 957-2614
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0621-0001-A
IL
Other
Enumeration date
08/09/2005
Last updated
08/22/2020
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