Abj Community Services, Inc | |
1818 E 71st St Chicago IL 60649-2010 | |
(773) 667-2100 | |
(773) 667-9578 |
Full Name | Abj Community Services, Inc |
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Speciality | Community/behavioral Health |
Location | 1818 E 71st St, Chicago, Illinois |
Authorized Official Name and Position | Vivian Rose Jones (FOUNDER/PRESIDENT & CEO) |
Authorized Official Contact | 7736672100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Abj Community Services, Inc 1507 E 53rd St Pmb 336 Chicago IL 60615-4509 Ph: (773) 667-2100 | Abj Community Services, Inc 1818 E 71st St Chicago IL 60649-2010 Ph: (773) 667-2100 |
NPI Number | 1093993065 |
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Provider Enumeration Date | 02/01/2008 |
Last Update Date | 03/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093993065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | A88350001A (Illinois) | Primary |
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