Organization
LESTER AND ROSALIE ANIXTER CENTER
Active
Other names
Anixter Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DESMOND (SENIOR DIRECTOR OF FINANCE)
(773) 761-1501
Entity
Organization
Contact information
Practice address
1401 W CHASE AVE, CHICAGO, IL 60626-2108
(847) 675-3200
(847) 675-3274
Mailing address
6610 N. CLARK STREET, CHICAGO, IL 60626
(773) 761-1501
(773) 977-1240
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
04006
IL
Other
Enumeration date
05/10/2007
Last updated
01/12/2016
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