Organization
WESTCARE ILLINOIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAVY MUNROE (REGIONAL VICE PRESEDIENT)
(312) 568-7051
Entity
Organization
Contact information
Practice address
1100 W CERMAK RD, SUITE B414, CHICAGO, IL 60608-4500
(312) 568-7051
Mailing address
1100 W CERMAK RD, SUITE B414, CHICAGO, IL 60608-4500
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-4241-0007-A
IL
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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