| Gottlieb Community Health Services Corporation | |
|
3249 South Oak Park Ave Berwyn IL 60402 | |
| (708) 783-3222 | |
| (708) 783-3489 |
| Full Name | Gottlieb Community Health Services Corporation |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3249 South Oak Park Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Adenrele Kolawole (DIRECTOR BILLING AND COLLECTIONS) |
| Authorized Official Contact | 7082163743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gottlieb Community Health Services Corporation 3249 Oak Park Ave Berwyn IL 60402-3429 Ph: (615) 665-6000 | Gottlieb Community Health Services Corporation 3249 South Oak Park Ave Berwyn IL 60402 Ph: (708) 783-3222 |
| NPI Number | 1700864352 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Medicare PECOS PAC ID | 3375442999 |
|---|---|
| Medicare Enrollment ID | O20180327001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700864352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0005082 (Illinois) | Primary |
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