| Casa Central | |
|
1343 N California Ave Chicago IL 60622-2803 | |
| (773) 645-2300 | |
| (773) 645-2475 |
| Full Name | Casa Central |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1343 N California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ann R Alvarez (PRESIDENT & CEO) |
| Authorized Official Contact | 7736452324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Central 1343 N California Ave Chicago IL 60622-2803 Ph: (773) 645-2300 | Casa Central 1343 N California Ave Chicago IL 60622-2803 Ph: (773) 645-2300 |
| NPI Number | 1053742445 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053742445 | NPI | - | NPPES |
| 2A00-IPI-182 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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