| King Community Mental Health Center Corp | |
|
4455 S King Drive Suite 101 Chicago IL 60653-3310 | |
| (773) 536-2700 | |
| (773) 751-2250 |
| Full Name | King Community Mental Health Center Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4455 S King Drive, Chicago, Illinois |
| Authorized Official Name and Position | Roueen Rafeyan (OWNER) |
| Authorized Official Contact | 7735362700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Community Mental Health Center Corp 4455 S King Drive Suite 101 Chicago IL 60653-3310 Ph: (773) 536-2700 | King Community Mental Health Center Corp 4455 S King Drive Suite 101 Chicago IL 60653-3310 Ph: (773) 536-2700 |
| NPI Number | 1003056557 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003056557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036089152 (Illinois) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |