| South Suburbs, Substance Use Treatment South/blue Island | |
|
12139-12145 S Western Ave Blue Island IL 60406-1387 | |
| (773) 572-5500 | |
| (773) 537-3488 |
| Full Name | South Suburbs, Substance Use Treatment South/blue Island |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12139-12145 S Western Ave, Blue Island, 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 |
|---|---|
| South Suburbs, Substance Use Treatment South/blue Island 4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: (773) 572-5500 | South Suburbs, Substance Use Treatment South/blue Island 12139-12145 S Western Ave Blue Island IL 60406-1387 Ph: (773) 572-5500 |
| NPI Number | 1942456223 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942456223 | NPI | - | NPPES |
| 04133 | Medicaid | IL | |
| ========= | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Value Care Centers, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14127 Leavitt Ave, Blue Island, IL 60406 Phone: 708-566-4950 Fax: 708-566-4382 | |
House Of Hearts Cila Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 121st St, Blue Island, IL 60406 Phone: 773-597-7698 | |
Kaz Community Develpoment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12654 Maple Ave, Blue Island, IL 60406 Phone: 708-489-0001 Fax: 708-489-0002 | |
South Suburbs Blue Island Apartments Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2421-2425 W 123rd St, Blue Island, IL 60406 Phone: 773-572-5500 | |
Neurodiagnostic Services Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, #2c, Blue Island, IL 60406 Phone: 708-388-4902 Fax: 708-388-0043 | |
Guildhaus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13315 Olde Western Ave, Blue Island, IL 60406 Phone: 708-926-9627 | |
Unlimited Potential, Nfp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13811 Western Ave, Blue Island, IL 60406 Phone: 708-954-0123 Fax: 708-943-7017 |