| Proviso Leyden Council For Community Action | |
|
411 Madison St Maywood IL 60153-2136 | |
| (708) 450-3500 | |
| (708) 236-5186 |
| Full Name | Proviso Leyden Council For Community Action |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 411 Madison St, Maywood, Illinois |
| Authorized Official Name and Position | Claude Porter (PASTOR) |
| Authorized Official Contact | 7084503506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proviso Leyden Council For Community Action 411 Madison St Maywood IL 60153-2136 Ph: (708) 450-3500 | Proviso Leyden Council For Community Action 411 Madison St Maywood IL 60153-2136 Ph: (708) 450-3500 |
| NPI Number | 1457539223 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457539223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0-577-0183-P (Illinois) | Primary |
Proviso Leyden Council For Community Action, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison W St, Maywood, IL 60153 Phone: 708-450-3500 | |
Way Back Inn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Oak St., Maywood, IL 60153 Phone: 708-344-3301 Fax: 708-344-2944 | |
Plcca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-236-5042 | |
Procare Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 6th Ave, Maywood, IL 60153 Phone: 708-681-2324 Fax: 708-345-5496 | |
Enhanced Clinical Solutions, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 S 1st Ave, Suite# 310, Maywood, IL 60153 Phone: 708-344-0884 Fax: 708-343-5629 | |
Healthy Soul Talk Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 S 1st Ave Ste 307, Maywood, IL 60153 Phone: 708-483-8455 Fax: 708-776-4717 |