| Rincon Family Services | |
|
4720 N Sheridan Rd Chicago IL 60640-5022 | |
| (773) 564-9070 | |
| Not Available |
| Full Name | Rincon Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4720 N Sheridan Rd, Chicago, Illinois |
| Authorized Official Name and Position | Eddy Borrayo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7735649070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rincon Family Services 3710 N Kedzie Ave Chicago IL 60618-4504 Ph: (773) 564-9070 | Rincon Family Services 4720 N Sheridan Rd Chicago IL 60640-5022 Ph: (773) 564-9070 |
| NPI Number | 1912311275 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912311275 | NPI | - | NPPES |
| 0488 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 004880003 (Illinois) | Primary |
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