Organization
PARTNERS IN RECOVERY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN L SMITH MA (PRESIDENT)
(708) 957-3303
Entity
Organization
Contact information
Practice address
18208 DOLPHIN LAKE DRIVE, HOMEWOOD, IL 60430-1507
(708) 957-3303
(708) 957-3764
Mailing address
18208 DOLPHIN LAKE DR, HOMEWOOD, IL 60430-1507
(708) 957-3303
(708) 957-3764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633198
BCBS
—
Enumeration date
02/22/2007
Last updated
08/22/2020
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