| Genuine Hearts Behavioral Services Llc | |
|
400 W 76th St Unit 216a Chicago IL 60620-1640 | |
| (872) 207-5028 | |
| Not Available |
| Full Name | Genuine Hearts Behavioral Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 W 76th St, Chicago, Illinois |
| Authorized Official Name and Position | Gladys Lang (MANAGER) |
| Authorized Official Contact | 8722075028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genuine Hearts Behavioral Services Llc 400 W 76th St Unit 216a Chicago IL 60620-1640 Ph: (872) 207-5028 | Genuine Hearts Behavioral Services Llc 400 W 76th St Unit 216a Chicago IL 60620-1640 Ph: (872) 207-5028 |
| NPI Number | 1104230077 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104230077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04826191 (Illinois) | Primary |
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