| Cook County Adult Probation | |
|
1500 Maybrook Dr Suite 222 Maywood IL 60153-2435 | |
| (773) 674-3282 | |
| (773) 674-4913 |
| Full Name | Cook County Adult Probation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1500 Maybrook Dr, Maywood, Illinois |
| Authorized Official Name and Position | Reginald Stone (DEPUTY CHIEF PROBATION OFFICER) |
| Authorized Official Contact | 7736742871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook County Adult Probation 69 W. Washington St Suite 1940 Chicago IL 60602-3035 Ph: (312) 603-0258 | Cook County Adult Probation 1500 Maybrook Dr Suite 222 Maywood IL 60153-2435 Ph: (773) 674-3282 |
| NPI Number | 1811279946 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811279946 | NPI | - | NPPES |
| 04038 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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