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Organization

ILLINOIS HEALTH PRACTICE ALLIANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID M BERKEY (CHIEF EXECUTIVE OFFICER)
(312) 619-3010
Entity
Organization

Contact information

Practice address
77 W WACKER DR STE 1200, CHICAGO, IL 60601-1712
(312) 619-3010
Mailing address
77 W WACKER DR STE 1200, CHICAGO, IL 60601-1712

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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