| Roseland Outpatient Clinic | |
|
200 E 115th St Fl 2 Chicago IL 60628-5015 | |
| (773) 291-2501 | |
| Not Available |
| Full Name | Roseland Outpatient Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 E 115th St Fl 2, Chicago, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseland Outpatient Clinic 200 E 115th St Fl 2 Chicago IL 60628-5015 Ph: (773) 291-2501 | Roseland Outpatient Clinic 200 E 115th St Fl 2 Chicago IL 60628-5015 Ph: (773) 291-2501 |
| NPI Number | 1013448257 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013448257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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