NPI 1013448257

Roseland Outpatient Clinic

Organisation Community/Behavioral Health Agency Chicago, IL

Practice location

Address: 200 E 115th St Fl 2, Chicago, IL 60628-5015
Phone: (773) 291-2501

Authorised official

Name: Scott Andrle
Title: Director Managed Care
Phone: (312) 864-4649

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Illinois →

Registry record

NPI: 1013448257
Entity type: Organization
NPI issued: 21 Mar 2017
Record last updated: 21 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.