Mental Helath Unit-bridgeview | |
10220 S 76th Ave Room 57 Bridgeview IL 60455-2425 | |
(773) 674-3282 | |
(773) 674-3282 |
Full Name | Mental Helath Unit-bridgeview |
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Speciality | Community/behavioral Health |
Location | 10220 S 76th Ave, Bridgeview, 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 |
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Mental Helath Unit-bridgeview 69 W Washington St Suite 1940 Chicago IL 60602-3134 Ph: (312) 603-0258 | Mental Helath Unit-bridgeview 10220 S 76th Ave Room 57 Bridgeview IL 60455-2425 Ph: (773) 674-3282 |
NPI Number | 1427331198 |
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Provider Enumeration Date | 09/20/2011 |
Last Update Date | 09/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427331198 | NPI | - | NPPES |
04038 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Barbara R Moline, Msw, Lcsw. Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7345 W 100th Pl, Suite 105, Bridgeview, IL 60455 Phone: 708-599-2603 Fax: 708-524-8504 |