PRIDE ROC

CHICAGO, IL
NPI1922697143
Entity TypeOrganization
Authorized ContactBENJAMIN DURCHSLAG
Lead Clinician
312-860-9552
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
PRIDE ROC
765 W 69TH ST
CHICAGO, IL 60621-2435
Phone number: 312-860-9552
Mailing Address
PRIDE ROC
PO BOX 15232
CHICAGO, IL 60615-5141
Phone number:
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