Organization · Type 2 NPI
New Life Medco Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1700100625
Active
Practice location
329 W 18th St, Ste 500
Chicago, IL 60619
Mailing address
329 W 18th, Ste 500 Box 20
Chicago, IL 60616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 149004694 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1700100625
New Life Medco Inc's National Provider Identifier is 1700100625, issued on Mar 22, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Mar 22, 2010.