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NPI Code Detail

MEDICARE: HEALTHCARE ALTERNATIVE SYSTEMS

MEDICARE: HEALTHCARE ALTERNATIVE SYSTEMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)12001IL

General Provider Information

NPI Number : 1295168623
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE ALTERNATIVE SYSTEMS
Provider Business Mailing Address
First Line : 4734 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-3322
Country : US
Telephone Number : 773-252-3100
Fax Number : 773-252-8945
Provider Business Practice Location Address
First Line : 2755 W ARMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-4244
Country : US
Telephone Number : 773-252-3100
Fax Number : 773-252-8945
Authorized Official
Title or Position : CEO
Name : MR. MARCO JACOME
Credential :
Telephone Number : 773-252-3100
Provider Enumeration Date : 08/21/2013
Last Update Date : 02/21/2023

Similar Medicare Providers

1457357352 — HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Practice Location Address:
2755 W ARMITAGE AVE
CHICAGO, IL
60647-4244
Practice Phone: 773-252-3100
Practice Fax: 773-252-8945
1891266391 — JOSE DE JESUS INIGUEZ PHD, LCPC
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Practice Fax:
1255074902 — CHRISTOPHER D SZYMANSKI
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Practice Fax:
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Directions to “HEALTHCARE ALTERNATIVE SYSTEMS ” Practice Location

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