Organization
SAINT MARY'S OUTPATIENT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA RODRIGUEZ (SUPERVISOR)
(312) 770-3046
Entity
Organization
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2317
Mailing address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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