Organization
MIDWEST COUNSELING AND DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN M RYBA J.D. (BUSINESS MANAGER)
(312) 543-4792
Entity
Organization
Contact information
Practice address
2955 W EASTWOOD AVE, CHICAGO, IL 60625-3721
(312) 543-4792
Mailing address
2955 W EASTWOOD AVE, CHICAGO, IL 60625-3721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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