OrganizationThresholdsClinic/CenterAmbulatory Health Care FacilitiesPractice Address2529 W Fitch Ave Apt 106, Chicago, IL 60645-3162(773) 572-5500PECOS EnrollmentBased on the most recent information from CMS, provider Thresholds does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1780998781Provider TypeOrganizationFull NameThresholdsSubpartYesEnumeration Date8/2/2010Last Updated1/16/2019Contact InformationPractice LocationPractice Address2529 W Fitch Ave Apt 106, Chicago, IL 60645-3162Phone(773) 572-5500FaxUnlisted FaxMailing LocationMailing Address4101 N Ravenswood Ave, Chicago, IL 60613Phone(773) 572-5500Fax(773) 271-2597Authorized OfficialNameShoreibah, Al (Cfo)Phone(773) 572-5262Provider TaxonomiesCodeDescriptionLicenseCode261QM0801XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicense04133Illinois