Organization
ILLINOIS COORDINATED CARE PARTNERSHIP, LLC
Active
Other names
ICCP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JONES JR. (PRESIDENT)
(312) 554-0600
Entity
Organization
Contact information
Practice address
1359 W WASHINGTON BLVD, CHICAGO, IL 60607-1905
(312) 554-0600
(312) 554-8161
Mailing address
1359 W WASHINGTON BLVD, CHICAGO, IL 60607-1905
(312) 554-0600
(312) 554-8161
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4549088621
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/11/2012
Last updated
07/21/2022
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