Organization
TIMMY COMMUNITY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESIA CARLOCK (OWNER)
(224) 229-2029
Entity
Organization
Contact information
Practice address
11001 S MICHIGAN AVE STE 103, CHICAGO, IL 60628-4308
(773) 313-9040
Mailing address
11001 S MICHIGAN AVE STE 103, CHICAGO, IL 60628-4308
(773) 313-9040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
12/31/2020
Last updated
03/07/2022
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