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Organization

UCP SEGUIN OF GREATER CHICAGO

Active
Other names
Seguin Services Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA RESSLER ROBINSON (CLINICAL SERVICES ADMINISTRATOR)
(708) 222-4607
Entity
Organization

Contact information

Practice address
1704 W ARMITAGE CT, ADDISON, IL 60101-4207
(708) 863-3803
Mailing address
3100 S CENTRAL AVE, CICERO, IL 60804-3956

Taxonomy

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

Other

Enumeration date
06/22/2022
Last updated
06/22/2022
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