Organization
LOUDEK COMMUNITY SERVICES, INC.
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMITT J MARSHALL JURIST DOTORATE (CHAIRPERSON)
(773) 253-7052
Entity
Organization
Contact information
Practice address
10540 S WESTERN AVE, STE # 402, CHICAGO, IL 60643-2536
(773) 253-7052
(773) 253-7051
Mailing address
10540 S WESTERN AVE STE 402, CHICAGO, IL 60643-2529
(773) 253-7052
(773) 253-7051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2278614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819206
—
IL
Enumeration date
02/18/2014
Last updated
02/18/2014
Update your record
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