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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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942456223
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 : 772-572-5240
Provider Business Practice Location Address
First Line : 12139 S WESTERN AVE
Second Line :
City : BLUE ISLAND
State : IL
Zip : 60406-1387
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 : 08/18/2008
Last Update Date : 12/05/2025

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1528697364 — ANN BREKKE LCPC
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1528679446 — RACHEL MENOR CADC
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1790588580 — THE THRESHOLDS
Practice Location Address:
12145 WESTERN AVE
BLUE ISLAND, IL
60406-1387
Practice Phone: 773-572-5500
Practice Fax: 773-572-5240

Directions to “THE THRESHOLDS ” Practice Location

Language Start Address Practice Location
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