| North Suburbs Morton Grove Group Home | |
|
6044 Lincoln Ave Morton Grove IL 60053-2938 | |
| (773) 572-5500 | |
| Not Available |
| Full Name | North Suburbs Morton Grove Group Home |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6044 Lincoln Ave, Morton Grove, Illinois |
| Authorized Official Name and Position | Marcella Klauer (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 7735725480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburbs Morton Grove Group Home 4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: (773) 572-5500 | North Suburbs Morton Grove Group Home 6044 Lincoln Ave Morton Grove IL 60053-2938 Ph: (773) 572-5500 |
| NPI Number | 1881049781 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881049781 | NPI | - | NPPES |
| 04133 | Medicaid | IL |
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