| Wocc, Nfp | |
|
2140 W Fulton St Ste 2h Chicago IL 60612-2337 | |
| (312) 934-8595 | |
| Not Available |
| Full Name | Wocc, Nfp |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2140 W Fulton St Ste 2h, Chicago, Illinois |
| Authorized Official Name and Position | Sherie Arriazola Martinez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3129348595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wocc, Nfp 1836 N Nashville Ave Chicago IL 60707-3910 Ph: (312) 934-8595 | Wocc, Nfp 2140 W Fulton St Ste 2h Chicago IL 60612-2337 Ph: (312) 934-8595 |
| NPI Number | 1740004910 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740004910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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