| NPI | 1154876050 |
|---|---|
| Other Name | WEST SUBURBS |
| Doing Business As | WEST SUBURBS |
| Entity Type | Organization |
| Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL 04133) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2021-08-20 |