| Medmark Treatment Centers | |
|
4700 W 95th St Suite Ll5 Oak Lawn IL 60453-2533 | |
| (708) 499-6320 | |
| (708) 499-6263 |
| Full Name | Medmark Treatment Centers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4700 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Remy Sue Reinier (DIRECTOR OF OTP OPERATIONS) |
| Authorized Official Contact | 7084996320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medmark Treatment Centers 4700 W 95th St Suite Ll5 Oak Lawn IL 60453-2533 Ph: (708) 499-6320 | Medmark Treatment Centers 4700 W 95th St Suite Ll5 Oak Lawn IL 60453-2533 Ph: (708) 499-6320 |
| NPI Number | 1548312788 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548312788 | NPI | - | NPPES |
| IL10154M | Other | IL | SAMHSA CERTIFICATION |
| A80120001A | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A80120001A (Illinois) | Primary |
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