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Contact Information

EXOFFENDER TRANSITION CENTER
2630 S WABASH AVE REAR
CHICAGO, IL60616-2825
 Phone: 312-808-3210
 Fax: 312-949-1610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for EXOFFENDER TRANSITION CENTER

NPI # 1992212161
LBN Legal business name EXOFFENDER TRANSITION CENTER
Authorized official CHRISTINE LANG APPLEWHITE - (VICE PRESIDENT & CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2018
Last updated 01/09/2018 - About 8 years ago
Identifiers
IL Medicaid 1275057705
IL Medicaid 14055583
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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