Proviso Public Partnership

NPI #1063361517 in Bellwood, Illinois

Provider Information

NPI Number
1063361517
Entity Type
Organization
Organization Name
Proviso Public Partnership
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jan 27, 2026
Last Updated
Jan 27, 2026

Practice Location

Address
2619 CONGRESS ST
ZIP Code
60104-2405
Phone
(708) 240-4435

Authorized Official

Name
KATHERINE WILLIAMS
Title
FINANCIAL OFFICER
Phone
(708) 234-8661

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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