Organization
LATINO TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA TRINO (EXECUTIVE DIRECTOR)
(847) 695-9155
Entity
Organization
Contact information
Practice address
245 W ROOSEVELT RD, WEST CHICAGO, IL 60185-3739
(630) 293-9707
Mailing address
245 W ROOSEVELT RD, WEST CHICAGO, IL 60185-3739
(630) 293-9707
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-969-0003-A
—
IL
Enumeration date
09/09/2021
Last updated
11/04/2024
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