ENVISION UNLIMITED NPI 1033601687

NPI Information

NPI: 1033601687
Provider Name: ENVISION UNLIMITED

Other Name: DIVERSEY

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

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D2207915

Address:
4434 W DIVERSEY AVE
CHICAGO, IL
ZIP 60639
Phone: (773) 506-3201
Get Directions

ENVISION UNLIMITED is a mental health (including community mental health center) clinic center in Chicago, IL. ENVISION UNLIMITED NPI is 1033601687. The provider is registered as an organization entity type.
The provider Other Name Is Diversey.

The provider's business location address is:

4434 W DIVERSEY AVE
CHICAGO, IL
ZIP 60639-939
Phone: (773) 506-3201

The provider's authorized official is Natalie Blider .
The authorized official title is Director Of Revenue Cycle Mgmt and has the following contact phone number (773) 769-4313.

The CLIA number assigned to this NPI record is 14D2207915 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 9/8/2021.

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	251C00000X	Day Training, Developmentally Disabled Services				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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