| Rincon Family Services | |
|
367 S Schuyler Ave Kankakee IL 60901-3811 | |
| (815) 386-5586 | |
| Not Available |
| Full Name | Rincon Family Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 367 S Schuyler Ave, Kankakee, Illinois |
| Authorized Official Name and Position | Eddy Borrayo (PRESIDENT/CEO) |
| Authorized Official Contact | 7735649070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rincon Family Services 3942 W North Ave Chicago IL 60647-4639 Ph: (773) 564-9070 | Rincon Family Services 367 S Schuyler Ave Kankakee IL 60901-3811 Ph: (815) 386-5586 |
| NPI Number | 1376115253 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376115253 | NPI | - | NPPES |
| 14003 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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