Deborah'S Place

LBN: Deborah'S Place
Deborah'S Place is an health care organization with primary practice located at 2822 W Jackson Blvd , Chicago IL 60612-3653. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Deborah'S Place can be contacted via phone (773) 722-5080, or through Booton Wilson, Katharine C via phone (773) 638-6392.

Contact Information

Primary practice address
2822 W Jackson Blvd Chicago IL 60612-3653
Phone: (773) 722-5080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Booton Wilson, Katharine C Licensed Clinical Social Worker (LCSW)
Phone: (773) 638-6392

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 149.007559 Illinois
Agencies / Case Management 251B00000X 149.011208 Illinois
Agencies / Case Management 251B00000X 149.016615 Illinois
Agencies / Case Management 251B00000X 149.015965 Illinois
Agencies / Case Management 251B00000X 150.015350 Illinois
Agencies / Community/Behavioral Health 251S00000X 149.007559 Illinois
Agencies / Community/Behavioral Health 251S00000X 149.011208 Illinois
Agencies / Community/Behavioral Health 251S00000X 149.016615 Illinois
Agencies / Community/Behavioral Health 251S00000X 149.015965 Illinois
Agencies / Community/Behavioral Health 251S00000X 150.015350 Illinois

Profile Details

NPI number 1568828291
LBN Legal business name Deborah'S Place
DBA Doing business as
Authorized official Booton Wilson, Katharine C Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2016
Last updated Jan 11th, 2016 - about 10 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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