NICASA, NFP

NPI # 

Practice Address:

1724 1St St

Highland Park, IL, 60035-3202

Practice Phone:

847-433-1303

Practice Fax:

847-433-2324

License Number:

A-0614-0006

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rehabilitation, Substance Use Disorder

Taxonomy Code:

261QR0405X