Organization
SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
Active
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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