| Another Chance Chicago | |
|
4131 S State St Ste F Chicago IL 60609-2942 | |
| (773) 366-0055 | |
| Not Available |
| Full Name | Another Chance Chicago |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4131 S State St Ste F, Chicago, Illinois |
| Authorized Official Name and Position | Delano Porchia (CREDENTIALING) |
| Authorized Official Contact | 6153647905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Another Chance Chicago 9704 S Lowe Ave Chicago IL 60628-1013 Ph: () - | Another Chance Chicago 4131 S State St Ste F Chicago IL 60609-2942 Ph: (773) 366-0055 |
| NPI Number | 1992532709 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992532709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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