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

NPI number1629756127
StatusActive
Last updated in NPPESJul 6, 2023

Details

NPI
1629756127
Entity type
Organization (NPI-2)
Legal business name
Envision Unlimited
Organization subpart
No
Enumeration date
Jul 6, 2023
Certification date
Jul 6, 2023
Last updated
Jul 6, 2023

Taxonomy and licenses

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

Practice location

11150 S Western Ave
Chicago, IL 60643-3908

Phone 773-769-2139

Mailing address

8 S Michigan Ave Ste 1700
Chicago, IL 60603-3353

Authorized official

Natalie Blider
Director Of Revenue Cycle Mgmt- Mh
7735063014

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