Provider Demographics
NPI:1700360518
Name:LINK AND OPTION CENTER INC
Entity type:Organization
Organization Name:LINK AND OPTION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TWIN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-331-8111
Mailing Address - Street 1:900 E 162ND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2477
Mailing Address - Country:US
Mailing Address - Phone:708-331-8111
Mailing Address - Fax:708-331-8088
Practice Address - Street 1:924 E 162ND ST STE A
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2442
Practice Address - Country:US
Practice Address - Phone:708-331-8111
Practice Address - Fax:708-331-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========Medicaid