<Unavail>
LBN: Ucan
<Unavail> is an health care organization with primary practice located at 3640 W Fillmore St , Chicago IL 60624-4309. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Ucan can be contacted via phone (773) 588-0180, or through Stacy, Jonathan via phone (773) 588-0180.
Contact Information
Primary practice address
3640 W Fillmore St
Chicago IL 60624-4309
Phone: (773) 588-0180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X |
Profile Details
| NPI number | 1124476726 |
|---|---|
| LBN Legal business name | Ucan |
| DBA Doing business as | <Unavail> |
| Authorized official | Stacy, Jonathan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2016 |
| Last updated | Dec 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124476726 | NPPES |
| Illinois | MEDICAID | 2B05CHR011 |
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