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NPI Code Detail

MEDICARE: COMMUNITY MENTAL HEALTH COUNCIL, INC.

MEDICARE: COMMUNITY MENTAL HEALTH COUNCIL, 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
1320800000XMental Illness Community Based Residential Treatment Facility04033IL

General Provider Information

NPI Number : 1669768560
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MENTAL HEALTH COUNCIL, INC.
Provider Business Mailing Address
First Line : 8704 S CONSTANCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60617-2746
Country : US
Telephone Number : 773-734-4033
Fax Number : 773-734-6447
Provider Business Practice Location Address
First Line : 8006 S ESSEX AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60617-1221
Country : US
Telephone Number : 773-734-4044
Fax Number : 773-734-6447
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DR. CARL COMPTON BELL
Credential : M.D.
Telephone Number : 773-734-4033
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “COMMUNITY MENTAL HEALTH COUNCIL, INC. ” Practice Location

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