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Organization

CENTER SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY W PEDIGO PHD (SECRETARY TREASURER)
(708) 481-4080
Entity
Organization

Contact information

Practice address
3624 W 216TH STREET, MATTESON, IL 60443-2713
(708) 481-4080
(708) 481-7725
Mailing address
3624 W 216TH STREET, MATTESON, IL 60443-2713
(708) 481-4080
(708) 481-7725

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01636410
BCBS
Enumeration date
10/31/2006
Last updated
06/07/2008
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