CCLAKEVIEW CILA
Ambulatory Health at Grace St, Chicago, IL

License number
Illinois 04040
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DANIEL P KANTER
Title: CONTROLLER
Phone: (773) 549-1102
Address
Address
732 W Grace St, Chicago, IL 60613
National Provider ID: 1811203813
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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