CHICAGO DEPARTMENT OF PUBLIC HEALTH

NPI # 

Practice Address:

1140 W 79Th St

Chicago, IL, 60620-3029

Practice Phone:

312-747-0881

Practice Fax:

312-747-7796

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X