| Juvenile Protective Association | |
|
1707 N Halsted St Chicago IL 60614-5501 | |
| (312) 440-1203 | |
| Not Available |
| Full Name | Juvenile Protective Association |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1707 N Halsted St, Chicago, Illinois |
| Authorized Official Name and Position | Richard Calica (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3126986940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juvenile Protective Association 1333 N Kingsbury St Suite 306 Chicago IL 60622-2687 Ph: () - | Juvenile Protective Association 1707 N Halsted St Chicago IL 60614-5501 Ph: (312) 440-1203 |
| NPI Number | 1972567709 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972567709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
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