<Unavail>

LBN: Center On Halsted
<Unavail> is an health care organization with primary practice located at 3656 N Halsted St , Chicago IL 60613-4316. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Center On Halsted can be contacted via phone (773) 472-6469, or through Valle, Modesto via phone (773) 472-6469.

Contact Information

Primary practice address
3656 N Halsted St Chicago IL 60613-4316
Phone: (773) 472-6469
Fax: (773) 472-6643
Website:
Map and Directions
Authorized official contact:
Name: Valle, Modesto
Phone: (773) 472-6469

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1508824244
LBN Legal business name Center On Halsted
DBA Doing business as <Unavail>
Authorized official Valle, Modesto
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Oct 21st, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508824244 NPPES
Illinois Other 01634461 BCBS

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