CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC NPI 1053559898

NPI Information

  • NPI: 1053559898
  • Provider Name: CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DBA - CHICAGO BEHAVIORAL HEALTH
  • Address: 8926 GREENWOOD
    SUITE 167
    NILES, IL
    ZIP 60714
  • Phone: (773) 699-8992

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NPI Details

CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC is a family medicine in Niles, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC NPI is 1053559898. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba - Chicago Behavioral Health.

The provider's business location address is:

8926 GREENWOOD
SUITE 167
NILES, IL
ZIP 60714
Phone: (773) 699-8992

The provider's authorized official is Nicholas Paponos .
The authorized official title is Medical Director/director Of Clinic and has the following contact phone number (773) 237-8722.

The enumeration date for this NPI number is 2/2/2009 and was last updated on 2/2/2009.

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
1207Q00000XFamily Medicine0360919742ILLINOISYes

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
1G89996MEDICARE UPINILLINOIS
21134110448MEDICARE PINILLINOIS

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: 3/30/2025

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