Organization
MONTE NIDO ILLINOIS, LLC
Active
Other names
Monte Nido Chicago Lombard Day Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MOODY (CHIEF FINANCIAL OFFICER)
(571) 334-3144
Entity
Organization
Contact information
Practice address
701 E 22ND ST STE 250, LOMBARD, IL 60148-2400
(305) 663-1876
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
06/26/2024
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