Provider Demographics
NPI:1326408816
Name:ESTABLISHING, MANGING AND GENERATING EFFECTIVE SERVICES
Entity Type:Organization
Organization Name:ESTABLISHING, MANGING AND GENERATING EFFECTIVE SERVICES
Other - Org Name:EMAGES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-224-7386
Mailing Address - Street 1:110 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-2302
Mailing Address - Country:US
Mailing Address - Phone:773-224-7386
Mailing Address - Fax:773-224-7685
Practice Address - Street 1:110 E 79TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-2302
Practice Address - Country:US
Practice Address - Phone:773-224-7386
Practice Address - Fax:773-224-7685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
IL001230000261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder