Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (EXECUTIVE DIRECTOR)
(773) 564-9070
Entity
Organization
Contact information
Practice address
4720 N SHERIDAN RD, CHICAGO, IL 60640-5022
(773) 564-9070
Mailing address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
004880003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488
—
IL
Enumeration date
06/16/2014
Last updated
06/10/2016
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