| South Suburban Behavioral Center | |
|
18225 Fountainbleau Dr Hazel Crest IL 60429-2231 | |
| (708) 957-2290 | |
| (708) 957-2293 |
| Full Name | South Suburban Behavioral Center |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 18225 Fountainbleau Dr, Hazel Crest, Illinois |
| Authorized Official Name and Position | Nasir Alikahn (CFO) |
| Authorized Official Contact | 7089572290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Suburban Behavioral Center 18225 Fountainbleau Dr Hazel Crest IL 60429-2231 Ph: (708) 957-2290 | South Suburban Behavioral Center 18225 Fountainbleau Dr Hazel Crest IL 60429-2231 Ph: (708) 957-2290 |
| NPI Number | 1871929042 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871929042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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