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Organization

ST MICHAELS COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE SIANIS M.D. (OWNER)
(773) 598-8540
Entity
Organization

Contact information

Practice address
7124 W GRAND AVE, CHICAGO, IL 60707-2805
(773) 598-8540
Mailing address
7124 W GRAND AVE, CHICAGO, IL 60707-2805
(773) 598-8540

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
A-8254-0001-A
IL
251S00000X
Community/Behavioral Health Agency
A-8254-0001-A
IL

Other

Enumeration date
05/10/2014
Last updated
08/15/2016
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