Organization
WAY BACK INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA PINDIUR MS, LCPC, CADC (EXECUTIVE DIRECTOR)
(708) 344-3301
Entity
Organization
Contact information
Practice address
412 S. WESLEY, OAK PARK, IL 60302
(708) 344-3301
(708) 344-2944
Mailing address
104 OAK STREET, MAYWOOD, IL 60153
(708) 344-3301
(708) 344-2944
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0388-0004-A
IL
Other
Enumeration date
05/07/2015
Last updated
06/14/2022
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