Organization
COMMUNITY COUNSELING CENTERS OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DAVIS (REVENUE CYCLE MANAGER)
(872) 235-0258
Entity
Organization
Contact information
Practice address
2014 W BELLE PLAINE AVE, CHICAGO, IL 60618-3002
(872) 235-0026
Mailing address
2014 W BELLE PLAINE AVE, CHICAGO, IL 60618-3002
(312) 531-0153
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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