Organization
ABRAHAM LINCOLN CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZIRL S. SMITH (PRESIDENT & CEO)
(773) 285-1390
Entity
Organization
Contact information
Practice address
9020 S STONY ISLAND AVE, CHICAGO, IL 60617-3508
(773) 285-1390
(773) 373-6612
Mailing address
3858 S COTTAGE GROVE AVE, CHICAGO, IL 60653-2089
(773) 285-1390
(773) 373-6626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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