Autumn Healthcare Of Illinois

LBN: Autumn Healthcare Of Illinois
Autumn Healthcare Of Illinois is an health care organization with primary practice located at 4505 S Drexel Blvd , Chicago IL 60653-4301. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Autumn Healthcare Of Illinois can be contacted via phone (773) 285-0550, or through Brazelton-Sykes, Pamela Ann via phone (773) 420-3481.

Contact Information

Primary practice address
4505 S Drexel Blvd Chicago IL 60653-4301
Phone: (773) 285-0550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brazelton-Sykes, Pamela Ann MS
Phone: (773) 420-3481

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1679628705
LBN Legal business name Autumn Healthcare Of Illinois
DBA Doing business as
Authorized official Brazelton-Sykes, Pamela Ann MS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jan 31st, 2019 - about 5 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 1679628705 NPPES
Illinois Other 1487709697 NPI
Illinois Other 207655 NPI

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