Organization
THE THRESHOLDS
Active
Other names
Thresholds
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ISHAUG (CEO)
(773) 572-5500
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR # 305, MILWAUKEE, WI 53216-2070
(773) 572-5147
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04133
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04133
—
IL
Enumeration date
08/20/2016
Last updated
08/20/2016
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