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NPI Code Detail

MEDICARE: RINCON FAMILY SERVICES

MEDICARE: RINCON FAMILY SERVICES
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
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1104243823
Entity Type Code : Organization
Provider Name (Legal Business Name) : RINCON FAMILY SERVICES
Provider Business Mailing Address
First Line : 3710 N KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-4504
Country : US
Telephone Number : 773-564-9070
Fax Number : 773-564-9197
Provider Business Practice Location Address
First Line : 3710 N KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-4504
Country : US
Telephone Number : 773-564-9070
Fax Number : 773-564-9197
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. EDDY BORRAYO
Credential :
Telephone Number : 773-564-9070
Provider Enumeration Date : 03/19/2014
Last Update Date : 10/07/2016

Similar Medicare Providers

1598623852 — RINCON FAMILY SERVICES
Practice Location Address:
3710 N KEDZIE AVE
CHICAGO, IL
60618-4504
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Practice Fax:
1891653051 — RINCON FAMILY SERVICES
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1497120117 — RINCON FAMILY SERVICES
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1265881098 — RINCON FAMILY SERVICES
Practice Location Address:
3710 N KEDZIE AVE
CHICAGO, IL
60618-4504
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Practice Fax: 773-249-9362
1841649670 — RINCON FAMILY SERVICES
Practice Location Address:
3710 N KEDZIE AVE
CHICAGO, IL
60618-4504
Practice Phone: 773-564-9070
Practice Fax: 773-249-9362
1578105672 — BETH DLOUHY LCSW
Practice Location Address:
3710 N KEDZIE AVE
CHICAGO, IL
60618-4504
Practice Phone: 773-564-9070
Practice Fax:

Directions to “RINCON FAMILY SERVICES ” Practice Location

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