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NPI Code Detail

MEDICARE: THE THRESHOLDS

MEDICARE: THE THRESHOLDS
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447407333
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE THRESHOLDS
Provider Business Mailing Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5500
Fax Number : 773-537-3488
Provider Business Practice Location Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5500
Fax Number : 773-537-3488
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : MARCELLA KLAUER
Credential :
Telephone Number : 773-572-5480
Provider Enumeration Date : 08/21/2008
Last Update Date : 07/14/2022

Similar Medicare Providers

1669488029 — THE THRESHOLDS
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5500
Practice Fax: 773-271-2597
1124195599 — STEVEN L. WEINSTEIN M.D.
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-537-3677
Practice Fax:
1790816478 — AMY M SMITH LCSW
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-537-5500
Practice Fax:
1922201813 — PETER ILLING LCSW
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5500
Practice Fax:
1174788095 — DR. SUSAN BURATTO MD
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5500
Practice Fax:
1043442643 — DR. ARTHUR JACEK KRZYZANOWSKI PSY.D.
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5449
Practice Fax: 773-537-3455

Directions to “THE THRESHOLDS ” Practice Location

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