| Lssi Portage Cragin Counseling Center Ccbhc | |
|
4840 W Byron St Chicago IL 60641-2712 | |
| (773) 282-7800 | |
| (773) 282-2163 |
| Full Name | Lssi Portage Cragin Counseling Center Ccbhc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4840 W Byron St, Chicago, Illinois |
| Authorized Official Name and Position | Greerann Lovette Sims (BUSINESS MANAGER) |
| Authorized Official Contact | 8473901422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lssi Portage Cragin Counseling Center Ccbhc 1001 E Touhy Ave Ste 50 Des Plaines IL 60018-5817 Ph: (847) 390-1422 | Lssi Portage Cragin Counseling Center Ccbhc 4840 W Byron St Chicago IL 60641-2712 Ph: (773) 282-7800 |
| NPI Number | 1104658038 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104658038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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