| Mental Health Service Line | |
|
5th Ave And Roosevelt Road Hines IL 60141 | |
| (708) 202-8387 | |
| Not Available |
| Full Name | Mental Health Service Line |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5th Ave And Roosevelt Road, Hines, Illinois |
| Authorized Official Name and Position | Aaron Rice (REHAB TECH) |
| Authorized Official Contact | 7082028387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Service Line 429 Sheridan Rd Apartment 16 Highwood IL 60040-1336 Ph: (847) 681-0706 | Mental Health Service Line 5th Ave And Roosevelt Road Hines IL 60141 Ph: (708) 202-8387 |
| NPI Number | 1508965724 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508965724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
John J. Madden Mhc Pav-4, Unit 4490 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav3, Unit 4480 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav-8, Unit 4361 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav-6, Unit 4380 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav-5, Unit 4370 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav-2, Unit 4470 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 |