Organization
MODERNMED RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN GERSHMAN MBA, MA (SENIOR CONSULTANT)
(609) 703-5006
Entity
Organization
Contact information
Practice address
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068-4293
(847) 423-6800
Mailing address
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068-4293
(847) 423-6800
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
07/14/2025
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