Organization
CARITAS CENTRAL INTAKE
Active
Parent organization
CARITAS
Other names
Contact IHH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARITAS
Authorized official
JESSECA WATSON (CNTRACTS AND CREDENTIALING MANAGER)
(630) 572-8228
Entity
Organization
Contact information
Practice address
140 NORTH ASHLAND AVENUE, CHICAGO, IL 60607
(312) 850-9411
(312) 850-3288
Mailing address
1301 WEST 22ND STREET, SUITE 500, OAK BROOK, IL 60523
(630) 572-8228
(312) 572-0566
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
07/21/2020
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