| Hazelden Betty Ford Foundation | |
|
867 N Dearborn St Chicago IL 60610-3310 | |
| (312) 943-3534 | |
| Not Available |
| Full Name | Hazelden Betty Ford Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 867 N Dearborn St, Chicago, Illinois |
| Authorized Official Name and Position | Jennifer Moseley (CD PROFESSION 1) |
| Authorized Official Contact | 3129433534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazelden Betty Ford Foundation 318 Lee St Evanston IL 60202-1898 Ph: () - | Hazelden Betty Ford Foundation 867 N Dearborn St Chicago IL 60610-3310 Ph: (312) 943-3534 |
| NPI Number | 1700270964 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700270964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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