| Expanded Mental Health Services Of Chicago Nfp | |
|
4141 N Kedzie Ave Suite 2 Chicago IL 60618-2477 | |
| (773) 754-0577 | |
| Not Available |
| Full Name | Expanded Mental Health Services Of Chicago Nfp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4141 N Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | Veronica Perez (OPERATIONS & FINANCE) |
| Authorized Official Contact | 7737540577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expanded Mental Health Services Of Chicago Nfp 4141 N Kedzie Ave Suite 2 Chicago IL 60618-2477 Ph: (773) 754-0577 | Expanded Mental Health Services Of Chicago Nfp 4141 N Kedzie Ave Suite 2 Chicago IL 60618-2477 Ph: (773) 754-0577 |
| NPI Number | 1710304480 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 7517280860 |
|---|---|
| Medicare Enrollment ID | O20141218000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710304480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Charles E Turk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073616637 PECOS PAC ID: 0244280170 Enrollment ID: I20050128000028 |
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