Organization
UCP SEGUIN OF GREATER CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LEONARD FOLEY (SENIOR VICE PRESIDENT)
(708) 222-4248
Entity
Organization
Contact information
Practice address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 222-4248
(708) 222-0478
Mailing address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 222-4248
(708) 222-0478
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
06/13/2023
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