| Sertoma Star Services, Inc. | |
|
4343 W 123rd St Alsip IL 60803-1807 | |
| (708) 755-8030 | |
| Not Available |
| Full Name | Sertoma Star Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4343 W 123rd St, Alsip, Illinois |
| Authorized Official Name and Position | Gus Van Den Brink (PRESIDENT/CEO) |
| Authorized Official Contact | 7087306216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sertoma Star Services, Inc. 1005 W End Ave Chicago Heights IL 60411-2742 Ph: () - | Sertoma Star Services, Inc. 4343 W 123rd St Alsip IL 60803-1807 Ph: (708) 755-8030 |
| NPI Number | 1407618697 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407618697 | NPI | - | NPPES |
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