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General NPI Number Information
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NPI Number | 1851586614
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Entity Type | Organization
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Legal Business Name | PRESENCE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 11824 SOUTHWEST HWY STE 230
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1085
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Country | US
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Telephone | 847-493-3600
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Fax | 847-493-3627
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Provider Business Mailing Address
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Address Line | 11824 SOUTHWEST HWY STE 230
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1085
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Country | US
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Telephone | 847-493-3600
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Fax | 847-493-3627
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Authorized Official
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Title or Position | MANAGER SUBSTANCE ABUSE
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Name | MR. CHRISTOPHER NONNIE
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Credential |
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Telephone | 708-786-2051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | A02480011A
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License Number State | IL
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