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
1	320800000X	Mental Illness Community Based Residential Treatment Facility
2	251S00000X	Community/Behavioral Health Agency	04133	IL
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

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

General Provider Information

NPI Number	:	1659764504
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	:

Provider Business Practice Location Address
First Line	:	3208 N SHEFFIELD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7167
Country	:	US
Telephone Number	:	773-572-5500
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE ASSISTANT
Name	:	MARCELLA KLAUER
Credential	:
Telephone Number	:	773-572-5480

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	07/14/2022

Similar Medicare Providers

1306621800 — KAWTHAR ASHOUR
Practice Location Address:

1111 N DEARBORN ST APT 1804
CHICAGO, IL
60610-7167

Practice Phone: 773-569-8858
Practice Fax:

1558741678 — MENTAL HEALTH ASSOCIATION IN SANTA BARBARA COUNTY
Practice Location Address:

7167 ALAMEDA AVE
GOLETA, CA
93117-1354

Practice Phone: 805-884-8440
Practice Fax:

1306221601 — SHARON TYRELL
Practice Location Address:

3387 THAMES PL
HEPHZIBAH, GA
30815-7167

Practice Phone: 706-284-7810
Practice Fax:

1932552072 — WILLOW GLEN CARE CENTER
Practice Location Address:

556 COHASSET RD
CHICO, CA
95926-2212

Practice Phone: 530-755-7167
Practice Fax:

1790631083 — DR. BRANDON CURRY D.C.
Practice Location Address:

2828 N CLARK ST LOWR LEVEL
CHICAGO, IL
60657-5775

Practice Phone: 868-773-0347
Practice Fax:

1639025844 — JADRANKO VUKOMANOVIC
Practice Location Address:

331 W SURF ST FL 5
CHICAGO, IL
60657-7227

Practice Phone: 312-896-7700
Practice Fax:

Directions to “THE THRESHOLDS ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.