| Midwest Behavioral | |
|
8836 S Ashland Ave Chicago IL 60620-4956 | |
| (773) 239-6569 | |
| (773) 239-6589 |
| Full Name | Midwest Behavioral |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8836 S Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jovita Chikeze Anyanwu (PRESIDENT) |
| Authorized Official Contact | 7732396569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Behavioral 16734 Steeplechase Pkwy Orland Park IL 60467-5890 Ph: (708) 256-8886 | Midwest Behavioral 8836 S Ashland Ave Chicago IL 60620-4956 Ph: (773) 239-6569 |
| NPI Number | 1376589853 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376589853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0336072994 (Illinois) | Primary |
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