Little City Foundation | |
1301 S Lewis Ave Waukegan IL 60085-7814 | |
(847) 336-1700 | |
Not Available |
Full Name | Little City Foundation |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1301 S Lewis Ave, Waukegan, Illinois |
Authorized Official Name and Position | Theresa Ann Moran (DEPUTY CHIEF CENTRALIZED SUPPORTS) |
Authorized Official Contact | 8472217123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little City Foundation 1760 W Algonquin Rd Palatine IL 60067-4791 Ph: (847) 221-7123 | Little City Foundation 1301 S Lewis Ave Waukegan IL 60085-7814 Ph: (847) 336-1700 |
NPI Number | 1588297980 |
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Provider Enumeration Date | 02/14/2020 |
Last Update Date | 02/14/2020 |
Certification Date | 02/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588297980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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