The Salvation Army Family And Community Services | |
845 W 69th St Chicago IL 60621-1709 | |
(773) 382-4615 | |
(773) 382-4649 |
Full Name | The Salvation Army Family And Community Services |
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Speciality | Community/behavioral Health |
Location | 845 W 69th St, Chicago, Illinois |
Authorized Official Name and Position | Mark Emmet Rund (SUPERVISOR OF CLINICAL SERVICES) |
Authorized Official Contact | 7733824615 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Salvation Army Family And Community Services 4800 N Marine Dr 1st Floor Chicago IL 60640-7859 Ph: (773) 433-5741 | The Salvation Army Family And Community Services 845 W 69th St Chicago IL 60621-1709 Ph: (773) 382-4615 |
NPI Number | 1699050468 |
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Provider Enumeration Date | 10/12/2011 |
Last Update Date | 10/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699050468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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