| United Mental Health Organization Of Illinois | |
|
17569 Kedzie Ave Hazel Crest IL 60429-2007 | |
| (708) 922-3840 | |
| (708) 922-3850 |
| Full Name | United Mental Health Organization Of Illinois |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17569 Kedzie Ave, Hazel Crest, Illinois |
| Authorized Official Name and Position | Reuben Frederick Goodwin (OWNER) |
| Authorized Official Contact | 7087745645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Mental Health Organization Of Illinois 3861 Marilyn Dr Richton Park IL 60471-1279 Ph: (708) 774-5645 | United Mental Health Organization Of Illinois 17569 Kedzie Ave Hazel Crest IL 60429-2007 Ph: (708) 922-3840 |
| NPI Number | 1639311087 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639311087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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