Organization
PASARICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK JOHNDON (PRESIDENT)
(708) 657-5043
Entity
Organization
Contact information
Practice address
2 E ERIE ST, CHICAGO, IL 60611-2724
(708) 657-5043
Mailing address
2 E ERIE ST, CHICAGO, IL 60611-2724
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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