Organization
HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCO E JACOME (EXECUTIVE DIRECTOR)
(773) 252-3100
Entity
Organization
Contact information
Practice address
1942 N CALIFORNIA AVE, CHICAGO, IL 60647-4247
(773) 292-4242
(773) 292-0355
Mailing address
2755 W ARMITAGE AVE, CHICAGO, IL 60647-4244
(773) 252-3100
(773) 252-8945
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0589-0002-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0589
DASA
IL
01
—
1834
BLUE CROSS
IL
01
—
4478219
AETNA
IL
01
—
496988000
MAGELLAN
IL
Enumeration date
03/01/2007
Last updated
01/03/2017
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