Whalio Doctors

NPI 1063894624

Circle Family Healthcare Network

Organisation Mental Illness Community Based Residential Treatment Facility Chicago, IL

Practice location

Address
5002 W Madison St, Chicago, IL 60644-4127
Phone
(773) 379-1000
Fax
(773) 379-1342

Authorised official

Name
Christopher Jackson
Title
Cfo
Phone
(773) 379-1000

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 23624 (IL)

Registry record

NPI
1063894624
Entity type
Organization
NPI issued
19 Jun 2015
Record last updated
19 Jun 2015

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.