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DEPAUL FAMILY & COMMUNITY SERVICES NPI 1285802025


NPI Information

NPI: 1285802025
Provider Name: DEPAUL FAMILY & COMMUNITY SERVICES

Former Legal Business Name: DEPAUL UNIVERSITY COMMUNITY MENTAL HEALTH CENTER

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
811 W EVERGREEN AVE
102A
CHICAGO, IL
ZIP 60622
Phone: (312) 654-0450
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DEPAUL FAMILY & COMMUNITY SERVICES is a mental health (including community mental health center) clinic center in Chicago, IL. DEPAUL FAMILY & COMMUNITY SERVICES NPI is 1285802025. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Depaul University Community Mental Health Center.

The provider's business location address is:

811 W EVERGREEN AVE
102A
CHICAGO, IL
ZIP 60622-682
Phone: (312) 654-0450

The provider's authorized official is Sheila C. Ribordy .
The authorized official title is Director and has the following contact phone number (773) 325-7780.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 7/25/2008.


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
1261QM0801XClinic/CenterMental 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

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