| Becker Group Home | |
|
448 N Genesee St Waukegan IL 60085-4006 | |
| (847) 244-9343 | |
| (847) 244-9540 |
| Full Name | Becker Group Home |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 448 N Genesee St, Waukegan, Illinois |
| Authorized Official Name and Position | Christopher Anthony Schrantz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8472456214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becker Group Home 448 N Genesee St Waukegan IL 60085-4006 Ph: (847) 244-9343 | Becker Group Home 448 N Genesee St Waukegan IL 60085-4006 Ph: (847) 244-9343 |
| NPI Number | 1013215649 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013215649 | NPI | - | NPPES |
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