Organization
AVANCE INC.
Active
Organization
AVANCE INC.
Active
Other names
Avance Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R MATUL LPC (THERAPIST)
(773) 293-1770
Entity
Organization
Contact information
Practice address
4765 N LINCOLN AVE, CHICAGO, IL 60625-2077
(773) 293-1770
(773) 293-3890
Mailing address
4765 N LINCOLN AVE, CHICAGO, IL 60625-2077
(773) 293-1770
(773) 293-3890
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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