CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO NPI 1881081263

NPI Information

NPI: 1881081263
Provider Name: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

Other Name: WEST REGIONAL SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1400 S AUSTIN BLVD
CICERO, IL
ZIP 60804
Phone: (708) 329-4026
Get Directions

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO is a mental health (including community mental health center) clinic center in Cicero, IL. CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO NPI is 1881081263. The provider is registered as an organization entity type.
The provider Other Name Is West Regional Services.

The provider's business location address is:

1400 S AUSTIN BLVD
CICERO, IL
ZIP 60804-003
Phone: (708) 329-4026

The provider's authorized official is Pamela F Davis .
The authorized official title is Department Director and has the following contact phone number (312) 655-7167.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	04019	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04019	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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