Organization
UCAN
Active
Other names
UCAN
Organization subpart
No
Provider details
NPI number
Authorized official
ZACK SCHRANTZ (PRESIDENT/CEO)
(773) 588-0180
Entity
Organization
Contact information
Practice address
13700 S INDIANA AVE, RIVERDALE, IL 60827-1842
(708) 841-6186
(708) 841-7130
Mailing address
3605 W FILLMORE ST, CHICAGO, IL 60624-4310
(773) 588-0180
(773) 588-7762
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
121626-10
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
05/03/2019
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