institution
Nicasa, Nfp
Mental Health Clinic/Center (Including Community Mental Health Center) in Waukegan, Illinois
NPI 1700336229

Nicasa, Nfp is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Round Lake, IL and is specialized in Mental Health (Including Community Mental Health Center). Nicasa, Nfp practices in Waukegan, IL. The NPI Number for Nicasa, Nfp is 1700336229 and holds a License No. 14012 (Illinois).

The current practice location address for Nicasa, Nfp is 1113 W Greenwood Ave, Waukegan, IL and can be reached out via phone at 847-244-4434 and via fax at 847-244-4098.

Location: 1113 W Greenwood Ave, Waukegan, IL, 60073-9517
institution
Provider Profile Details
NPI Number
1700336229
Provider Name
Nicasa, Nfp
Credential
Provider Entity Type
Organization
Address
1113 W Greenwood Ave, Waukegan, IL, 60073-9517
Phone Number
847-244-4434
Fax Number
847-244-4098
Provider Enumeration Date
10/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14012 01 IL ILLINOIS DEPT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
1113 W Greenwood Ave
City
State
Zip
60087-4908
Phone Number
847-244-4434
Fax Number
847-244-4098
person
Provider Business Mailing Address Details
Address
1113 W Greenwood Ave
City
State
Zip
60087-4908
Phone Number
847-244-4434
Fax Number
847-244-4098
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
14012 (Illinois)
Definition
Definition to come...
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