Madraigos Midwest

LBN: Soulu
Madraigos Midwest is an health care organization with primary practice located at 3557 W Peterson Ave #122 , Chicago IL 60659. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Voluntary or Charitable. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Soulu can be contacted via phone (773) 478-6000, or through Greenberger, Jay via phone (773) 478-6000.

Contact Information

Primary practice address
3557 W Peterson Ave #122 Chicago IL 60659
Phone: (773) 478-6000
Fax: (773) 478-6516
Website:
Map and Directions
Authorized official contact:
Name: Greenberger, Jay Licensed Clinical Social Worker (LCSW)
Phone: (773) 478-6000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1689029050
LBN Legal business name Soulu
DBA Doing business as Madraigos Midwest
Authorized official Greenberger, Jay Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2016
Last updated May 4th, 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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