| Bridges Academy, Llc | |
|
5911 N Leader Ave Chicago IL 60646-5625 | |
| (773) 332-7382 | |
| (773) 305-0915 |
| Full Name | Bridges Academy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5911 N Leader Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jayme L Crooks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7733327382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Academy, Llc 5911 N Leader Ave Chicago IL 60646-5625 Ph: (773) 332-7382 | Bridges Academy, Llc 5911 N Leader Ave Chicago IL 60646-5625 Ph: (773) 332-7382 |
| NPI Number | 1083010342 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083010342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 10-7278 (Illinois) | Secondary |
| 251S00000X | Community/behavioral Health | 10-7278 (Illinois) | Primary |
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