Grand Prairie Services | |
21136 Keeler Ave Matteson IL 60443-2242 | |
(708) 481-1360 | |
(708) 481-9442 |
Full Name | Grand Prairie Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 21136 Keeler Ave, Matteson, Illinois |
Authorized Official Name and Position | Sharronne Ward (PRESIDENT & CEO) |
Authorized Official Contact | 7084441012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grand Prairie Services 17746 Oak Park Ave Tinley Park IL 60477-3936 Ph: (708) 444-1012 | Grand Prairie Services 21136 Keeler Ave Matteson IL 60443-2242 Ph: (708) 481-1360 |
NPI Number | 1639233174 |
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Provider Enumeration Date | 12/20/2006 |
Last Update Date | 11/20/2023 |
Certification Date | 11/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639233174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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