Provider Type Icon

PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER INC. NPI 1003283540


NPI Information

NPI: 1003283540
Provider Name: PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.

Doing Business As: PILSEN WELLNESS CENTER, INC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2319 S DAMEN AVE
CHICAGO, IL
ZIP 60608
Phone: (773) 579-0832
Get Directions

PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. is a rehabilitation and substance use disorder clinic center in Chicago, IL. PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1003283540. 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:

2319 S DAMEN AVE
CHICAGO, IL
ZIP 60608-209
Phone: (773) 579-0832
Fax: (773) 579-0762

The provider's authorized official is Francisco Cisneros .
The authorized official title is Presicent/ceo and has the following contact phone number (773) 579-0832.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 6/7/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.