MEDICARE: ALTERNATIVE SOLUTIONS OF CHICAGO, INC

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
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1356688238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE SOLUTIONS OF CHICAGO, INC

Provider Business Mailing Address
First Line	:	3553 W PETERSON AVE
Second Line	:	SUITE 30
City	:	CHICAGO
State	:	IL
Zip	:	60659-3200
Country	:	US
Telephone Number	:	312-834-7885
Fax Number	:

Provider Business Practice Location Address
First Line	:	3553 W PETERSON AVE
Second Line	:	SUITE 30
City	:	CHICAGO
State	:	IL
Zip	:	60659-3200
Country	:	US
Telephone Number	:	312-834-7885
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CELIA HARDAMON
Credential	:
Telephone Number	:	312-834-7885

Provider Enumeration Date	:	01/11/2013
Last Update Date	:	01/11/2013

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