NPI 1508965724
Mental Health Service Line
Practice location
- Address
- 5th Ave and Roosevelt Road, Hines, IL 60141
- Phone
- (708) 202-8387
- Mailing address
- 429 Sheridan Rd Apartment 16, Highwood, IL 60040-1336
Authorised official
- Name
- Aaron Rice
- Title
- Rehab Tech
- Phone
- (708) 202-8387
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1508965724
- Entity type
- Organization
- NPI issued
- 22 Sep 2006
- Record last updated
- 22 Aug 2020
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.