NPI 1639311087

United Mental Health Organization of Illinois

Organisation Community/Behavioral Health Agency Hazel Crest, IL

Practice location

Address: 17569 Kedzie Ave, Hazel Crest, IL 60429-2007
Phone: (708) 922-3840
Fax: (708) 922-3850
Mailing address: 3861 Marilyn Dr, Richton Park, IL 60471-1279

Authorised official

Name: Reuben Frederick Goodwin
Title: Owner
Phone: (708) 774-5645

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Illinois →

Registry record

NPI: 1639311087
Entity type: Organization
NPI issued: 1 Apr 2009
Record last updated: 1 Apr 2009

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.