Organization · NPI-2

394567 D North

Psychiatric Unit · Chicago, IL

NPI number1316115223
StatusActive
Last updated in NPPESJun 19, 2008

Details

NPI
1316115223
Entity type
Organization (NPI-2)
Legal business name
394567 D North
Organization subpart
Yes
Enumeration date
Feb 13, 2008
Last updated
Jun 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
273R00000X Psychiatric Unit––Yes

Other names

  • Chicago Read Mental Health Center (Doing Business As)

Practice location

4200 North Oak Park Ave
Chicago, IL 60634-1417

Phone 773-794-3733 · Fax 773-794-4046

Mailing address

4200 North Oak Park Ave
Chicago, IL 60634-1417

Phone 773-794-3733 · Fax 773-794-4046

Authorized official

Angie C Tansor
Reimbursement Officer I
7737943733

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