| Mental Health Unit-markham | |
|
16501 Kedzie Pkwy Markham IL 60428-5509 | |
| (773) 674-3282 | |
| (773) 674-4913 |
| Full Name | Mental Health Unit-markham |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16501 Kedzie Pkwy, Markham, Illinois |
| Authorized Official Name and Position | Reginald Stone (DEPUTY CHIEF PROBATION OFFICER) |
| Authorized Official Contact | 7736742871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Unit-markham 69 W Washington St Suite 1940 Chicago IL 60602-3134 Ph: (312) 603-0258 | Mental Health Unit-markham 16501 Kedzie Pkwy Markham IL 60428-5509 Ph: (773) 674-3282 |
| NPI Number | 1396028064 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396028064 | NPI | - | NPPES |
| 04038 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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