| Advocate Children's Hospital Behavioral Health Services | |
|
4700 W 95th St Ste 205 Oak Lawn IL 60453-2574 | |
| (773) 296-3130 | |
| Not Available |
| Full Name | Advocate Children's Hospital Behavioral Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4700 W 95th St Ste 205, Oak Lawn, Illinois |
| Authorized Official Name and Position | Paul Anderson (SENIOR BUSINESS ANALYST) |
| Authorized Official Contact | 7732966316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Children's Hospital Behavioral Health Services 4700 W 95th St Ste 205 Oak Lawn IL 60453-2574 Ph: () - | Advocate Children's Hospital Behavioral Health Services 4700 W 95th St Ste 205 Oak Lawn IL 60453-2574 Ph: (773) 296-3130 |
| NPI Number | 1275913063 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275913063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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