|
| |
|
1225 W Lake St Melrose Park IL 60160-4039 | |
| (708) 938-7040 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1225 W Lake St, Melrose Park, Illinois |
| Authorized Official Name and Position | Susan Pfister (SYSTEM DIRECTOR, PFS) |
| Authorized Official Contact | 7737929903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1225 W Lake St Melrose Park IL 60160-4039 Ph: (708) 938-7040 | 1225 W Lake St Melrose Park IL 60160-4039 Ph: (708) 938-7040 |
| NPI Number | 1053457929 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053457929 | NPI | - | NPPES |
| 0074 | Other | IL | ILLINOIS BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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 | |