PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER INC. NPI 1073781811

NPI Information

PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Chicago, IL. PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1073781811. The provider is registered as an organization entity type.

The provider's business location address is:

3113 W CERMAK RD
CHICAGO, IL
ZIP 60623-449
Phone: (773) 277-3413
Fax: (773) 257-0912

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

The CLIA number assigned to this NPI record is 14D1055645 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2022.

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:

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