| Chicago Treatment & Counseling Center #4 | |
|
5635 W Roosevelt Rd Cicero IL 60804-1230 | |
| (708) 652-6500 | |
| (708) 652-6475 |
| Full Name | Chicago Treatment & Counseling Center #4 |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5635 W Roosevelt Rd, Cicero, Illinois |
| Authorized Official Name and Position | Hemlata Vaidya (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7086526500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Treatment & Counseling Center #4 5635 W Roosevelt Rd Cicero IL 60804-1230 Ph: (708) 652-6500 | Chicago Treatment & Counseling Center #4 5635 W Roosevelt Rd Cicero IL 60804-1230 Ph: (708) 652-6500 |
| NPI Number | 1679009880 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679009880 | NPI | - | NPPES |
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