NPI:
1962712406
Provider Name:
PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER
Doing Business As: PILSEN WELLNESS CENTER, INC
Classification:
Clinic/Center - 261QM0801X
Entity Type:
Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
1407 S 49TH CT
CICERO, IL
ZIP 60804
Phone:
(708) 683-5500
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PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Cicero, IL. PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER NPI is 1962712406. The provider is registered as an organization entity type.
The provider Is Doing Business As Pilsen Wellness Center, Inc.
The provider's business location address is:
1407 S 49TH CT
CICERO, IL
ZIP 60804-428
Phone: (708) 683-5500
Fax: (708) 683-5505
The provider's authorized official is Francisco Cisneros .
The authorized official title is President/ceo and has the following contact phone number (773) 579-0832.
The enumeration date for this NPI number is 10/18/2010 and was last updated on 4/9/2021.