Organization
TOP LINE HEALTH SERVICES LLC
Active
Other names
Top Line Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SAMPSON (ADMINISTRATOR)
(773) 563-5327
Entity
Organization
Contact information
Practice address
2833 E 79TH ST, CHICAGO, IL 60649-5213
(773) 563-5327
Mailing address
2833 E 79TH ST, CHICAGO, IL 60649-5213
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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