| Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | |
|
5090 W Harrison St Chicago IL 60644-5141 | |
| (773) 722-7900 | |
| Not Available |
| Full Name | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5090 W Harrison St, Chicago, Illinois |
| Authorized Official Name and Position | Simone Edwards (CFO) |
| Authorized Official Contact | 7737227900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby E. Wright Comprehensive Behavioral Health Center, Inc. 5002 W Madison St Chicago IL 60644-4127 Ph: (773) 722-7900 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. 5090 W Harrison St Chicago IL 60644-5141 Ph: (773) 722-7900 |
| NPI Number | 1952914020 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952914020 | NPI | - | NPPES |
| IL7164001 | Other | IL | MEDICARE |
| 695850 | Other | IL | MEDICARE |
| IL7164 | Other | IL | MEDICARE |
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