Organization
UNITED MENTAL HEALTH ORGANIZATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN FREDERICK GOODWIN SR. (OWNER)
(708) 774-5645
Entity
Organization
Contact information
Practice address
17569 KEDZIE AVE, HAZEL CREST, IL 60429-2007
(708) 922-3840
(708) 922-3850
Mailing address
3861 MARILYN DR, RICHTON PARK, IL 60471-1279
(708) 774-5645
(708) 679-9727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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