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NPI Code Detail

MEDICARE: CORNELL COMPANIES

MEDICARE: CORNELL COMPANIES
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
1324500000XSubstance Abuse Rehabilitation FacilityA-8981-004-AIL

General Provider Information

NPI Number : 1316092588
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNELL COMPANIES
Provider Business Mailing Address
First Line : 5701 S WOOD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60636-1646
Country : US
Telephone Number : 773-737-4600
Fax Number :
Provider Business Practice Location Address
First Line : 5701 S WOOD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60636-1646
Country : US
Telephone Number : 773-737-4600
Fax Number :
Authorized Official
Title or Position : SR BUS MGR
Name : JEFF REAVY
Credential :
Telephone Number : 630-824-4547
Provider Enumeration Date : 01/25/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1285789602 — CORNELL INTERVENTIONS, INC.
Practice Location Address:
5701 S WOOD ST
CHICAGO, IL
60636-1646
Practice Phone: 773-737-4600
Practice Fax:
1225183494 — CORNELL INTERVENTIONS, INC.
Practice Location Address:
5701 S WOOD ST
CHICAGO, IL
60636-1646
Practice Phone: 773-737-4600
Practice Fax:
1134274301 — CORNELL INTERVENTIONS, INC.
Practice Location Address:
5701 S WOOD ST
CHICAGO, IL
60636-1646
Practice Phone: 773-737-4600
Practice Fax:
1043365216 — CORNELL INTERVENTIONS, INC.
Practice Location Address:
5701 S WOOD ST
CHICAGO, IL
60636-1646
Practice Phone: 773-737-4600
Practice Fax:
1598810764 — CORNELL INTERVENTIONS, LLC
Practice Location Address:
5701 S WOOD ST
CHICAGO, IL
60636-1646
Practice Phone: 773-737-4600
Practice Fax:
1295764256 — SAFEWAY INC
Practice Location Address:
5829 S ARCHER AVE
CHICAGO, IL
60638-1646
Practice Phone: 773-284-0158
Practice Fax: 773-284-0278

Directions to “CORNELL COMPANIES ” Practice Location

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