| Reality Talk, Inc | |
|
1808 S State St Chicago IL 60616-1611 | |
| (312) 949-1340 | |
| (312) 949-1348 |
| Full Name | Reality Talk, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1808 S State St, Chicago, Illinois |
| Authorized Official Name and Position | Diane Washington (PRESIDENT) |
| Authorized Official Contact | 6303283571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reality Talk, Inc 1507 E 53rd St #275 Chicago IL 60615-4573 Ph: (630) 328-3571 | Reality Talk, Inc 1808 S State St Chicago IL 60616-1611 Ph: (312) 949-1340 |
| NPI Number | 1073804720 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 04/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073804720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036-085290 (Illinois) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 036-085290 (Illinois) | Primary |
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