395061 MED EVAL

CHICAGO, IL
NPI1508034414
Entity TypeOrganization
Authorized ContactANGIE C TANSOR
Reimbursement Officer I
773-794-3733
Organization Subpart ?Yes
Primary Taxonomy273R00000X Psychiatric Unit
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
395061 MED EVAL
4200 NORTH OAK PARK AVENUE
CHICAGO, IL 60634-1417
Phone number: 773-794-3733
Mailing Address
395061 MED EVAL
4200 NORTH OAK PARK AVENUE
CHICAGO, IL 60634-1417
Phone number: 773-794-3733
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