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NPI Code Detail

MEDICARE: ASHUNTI RESIDENTIAL MANAGEMENT SYSTEMS

MEDICARE: ASHUNTI RESIDENTIAL MANAGEMENT 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
1324500000XSubstance Abuse Rehabilitation Facility343900000XIL

General Provider Information

NPI Number : 1437425451
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHUNTI RESIDENTIAL MANAGEMENT SYSTEMS
Provider Business Mailing Address
First Line : 4909 W HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60644-1334
Country : US
Telephone Number : 773-379-6981
Fax Number : 773-379-6983
Provider Business Practice Location Address
First Line : 4909 W HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60644-1334
Country : US
Telephone Number : 773-379-6981
Fax Number : 773-379-6983
Authorized Official
Title or Position : C.E.O
Name : MS. REGINA DIANA LEWIS
Credential :
Telephone Number : 773-710-6830
Provider Enumeration Date : 03/23/2012
Last Update Date : 03/23/2012

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Directions to “ASHUNTI RESIDENTIAL MANAGEMENT SYSTEMS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.