Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Other names
Tinley Park Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE THOMAS (HOSPITAL ADMINISTRATOR)
(708) 614-4000
Entity
Organization
Contact information
Practice address
7400 183RD ST, TINLEY PARK, IL 60477-3688
(708) 614-4000
Mailing address
7400 183RD ST, TINLEY PARK, IL 60477-3688
(708) 614-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144019
MEDICARE PROVIDER NUMBER
IL
Enumeration date
09/16/2005
Last updated
08/22/2020
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