Organization
FEATHERFIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANEWISHKI EDD (EXECUTIVE DIRECTOR)
(773) 721-7088
Entity
Organization
Contact information
Practice address
2255 E 75TH ST, CHICAGO, IL 60649-3228
(773) 721-7088
Mailing address
2255 E 75TH ST, CHICAGO, IL 60649-3228
(773) 721-7088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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