| Autumn Healthcare Of Illinois | |
|
9449 S Kedzie Ave Suite 142 Evergreen Pk IL 60805-2325 | |
| (773) 420-3481 | |
| Not Available |
| Full Name | Autumn Healthcare Of Illinois |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9449 S Kedzie Ave, Evergreen Pk, Illinois |
| Authorized Official Name and Position | James Brown (OFFICE MANAGER) |
| Authorized Official Contact | 7738527454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Healthcare Of Illinois 9449 S Kedzie Ave Evergreen Pk IL 60805-2325 Ph: (773) 420-3481 | Autumn Healthcare Of Illinois 9449 S Kedzie Ave Suite 142 Evergreen Pk IL 60805-2325 Ph: (773) 420-3481 |
| NPI Number | 1205317377 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 12/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205317377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
N'courage Counseling And Consultation Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9730 S Western Ave, Evergreen Pk, IL 60805 Phone: 708-305-4646 |