| West Regional Services | |
|
1400 S Austin Blvd Cicero IL 60804-1003 | |
| (708) 329-4026 | |
| Not Available |
| Full Name | West Regional Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 S Austin Blvd, Cicero, Illinois |
| Authorized Official Name and Position | Pamela F Davis (DEPARTMENT DIRECTOR) |
| Authorized Official Contact | 3126557167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Regional Services 1800 N Hermitage Ave Chicago IL 60622-1161 Ph: (312) 655-7167 | West Regional Services 1400 S Austin Blvd Cicero IL 60804-1003 Ph: (708) 329-4026 |
| NPI Number | 1881081263 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881081263 | NPI | - | NPPES |
| 04019 | Medicaid | IL |
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