| Stickney Public Health District | |
|
6721 40th St Stickney IL 60402-4174 | |
| (708) 788-9100 | |
| (708) 788-4856 |
| Full Name | Stickney Public Health District |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6721 40th St, Stickney, Illinois |
| Authorized Official Name and Position | Chistopher Grunow (HEALTH DIRECTOR) |
| Authorized Official Contact | 7084249200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stickney Public Health District 6721 40th St Stickney IL 60402-4174 Ph: (708) 788-9100 | Stickney Public Health District 6721 40th St Stickney IL 60402-4174 Ph: (708) 788-9100 |
| NPI Number | 1457649246 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457649246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Stickney Public Health District, Behavioral Health Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6721 W. 40th Street, Stickney, IL 60402 Phone: 708-237-8918 Fax: 708-237-8997 |