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Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).

NPI number1144827320
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1144827320
Entity type
Organization (NPI-2)
Legal business name
Envision Unlimited
Organization subpart
Yes
Enumeration date
Oct 1, 2020
Certification date
Oct 1, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

4919 N Clark St
Chicago, IL 60640-3514

Phone 773-769-2139

Mailing address

5080 N Elston Ave
Chicago, IL 60630-2459

Phone 303-667-9772

Authorized official

Natalie Blider
Director Of Revenue Cycle Mgmt
3036679772

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