| 4562 Unit A-south | |
|
4200 N Oak Park Ave Chicago IL 60634-1417 | |
| (773) 794-3733 | |
| (773) 794-4046 |
| Full Name | 4562 Unit A-south |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4200 N Oak Park Ave, Chicago, Illinois |
| Authorized Official Name and Position | Angie Tansor (RO1) |
| Authorized Official Contact | 7737943733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4562 Unit A-south 4200 N Oak Park Ave Chicago IL 60634-1417 Ph: (773) 794-3733 | 4562 Unit A-south 4200 N Oak Park Ave Chicago IL 60634-1417 Ph: (773) 794-3733 |
| NPI Number | 1285777342 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285777342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Illinois) | Primary |
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