| Midwest Family And Community Resources Pc | |
|
3330 W 177th St Fl 1 Hazel Crest IL 60429-2184 | |
| (708) 745-3040 | |
| (708) 799-1889 |
| Full Name | Midwest Family And Community Resources Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3330 W 177th St Fl 1, Hazel Crest, Illinois |
| Authorized Official Name and Position | Robert Emil Thurman (OWNER, LCSW) |
| Authorized Official Contact | 7087453040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Family And Community Resources Pc 3330 W 177th St Fl 1 Hazel Crest IL 60429-2184 Ph: (708) 745-3040 | Midwest Family And Community Resources Pc 3330 W 177th St Fl 1 Hazel Crest IL 60429-2184 Ph: (708) 745-3040 |
| NPI Number | 1427690676 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427690676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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