Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT&CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
6926 N GLENWOOD AVE, CHICAGO, IL 60626-3412
(773) 338-9999
(773) 338-9519
Mailing address
3710 N KEDZIE AVE, CHICAGO, IL 60618-4504
(773) 564-9070
(773) 564-9197
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488
—
IL
Enumeration date
08/29/2016
Last updated
08/29/2016
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