| Children's Advocacy Center | |
|
1240 S Damen Ave Chicago IL 60608-1122 | |
| (312) 492-3860 | |
| Not Available |
| Full Name | Children's Advocacy Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1240 S Damen Ave, Chicago, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Advocacy Center 1900 W Polk St Rm 220c Chicago IL 60612-3723 Ph: (312) 864-4649 | Children's Advocacy Center 1240 S Damen Ave Chicago IL 60608-1122 Ph: (312) 492-3860 |
| NPI Number | 1336269240 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 02/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336269240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 0004549 (Illinois) | Primary |
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