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1919 Main St Melrose Park IL 60160-3737 | |
| (773) 572-5500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1919 Main St, Melrose Park, 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 |
|---|---|
4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: (773) 572-5500 | 1919 Main St Melrose Park IL 60160-3737 Ph: (773) 572-5500 |
| NPI Number | 1679720809 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679720809 | NPI | - | NPPES |
| 04133 | Medicaid | IL |
Presence Behavioral Health Procare Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8501 Fax: 708-681-3958 | |
Resurrection Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |