| Exceptional Case Management Llc | |
|
12904 Division St Apt 2a Blue Island IL 60406-3420 | |
| (773) 236-6511 | |
| Not Available |
| Full Name | Exceptional Case Management Llc |
|---|---|
| Speciality | Case Management |
| Location | 12904 Division St Apt 2a, Blue Island, Illinois |
| Authorized Official Name and Position | Linda Odaniel (CEO) |
| Authorized Official Contact | 7732366511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Case Management Llc 12904 Division St Apt 2a Blue Island IL 60406-3420 Ph: (773) 236-6511 | Exceptional Case Management Llc 12904 Division St Apt 2a Blue Island IL 60406-3420 Ph: (773) 236-6511 |
| NPI Number | 1497353551 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497353551 | NPI | - | NPPES |
| 1851999080 | Medicaid | IL |
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