| Elite Treatment Center | |
|
395 W Lincoln Hwy Chicago Heights IL 60411-2442 | |
| (708) 755-5117 | |
| (708) 755-5404 |
| Full Name | Elite Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 395 W Lincoln Hwy, Chicago Heights, Illinois |
| Authorized Official Name and Position | Albert Ellis (FOUNDER/CEO) |
| Authorized Official Contact | 7087555117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Treatment Center Po Box 2122 Chicago Heights IL 60412-8922 Ph: (708) 755-5117 | Elite Treatment Center 395 W Lincoln Hwy Chicago Heights IL 60411-2442 Ph: (708) 755-5117 |
| NPI Number | 1912457219 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 3173953387 |
|---|---|
| Medicare Enrollment ID | O20200430000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912457219 | NPI | - | NPPES |
| 800087456001 | Medicaid | IL |
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