The Thresholds | |
300 Grand Ave Suite B Waukegan IL 60085-4279 | |
(773) 572-5500 | |
(773) 537-3488 |
Full Name | The Thresholds |
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Speciality | Community/behavioral Health |
Location | 300 Grand Ave, Waukegan, Illinois |
Authorized Official Name and Position | Tony Zipple (CEO) |
Authorized Official Contact | 7735725220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Thresholds 4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: (773) 572-5500 | The Thresholds 300 Grand Ave Suite B Waukegan IL 60085-4279 Ph: (773) 572-5500 |
NPI Number | 1619124922 |
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Provider Enumeration Date | 08/19/2008 |
Last Update Date | 08/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619124922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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