ENVISION UNLIMITED NPI 1346732989

NPI Information

NPI: 1346732989
Provider Name: ENVISION UNLIMITED

Other Name: CORNELIA

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4828 W CORNELIA AVE
CHICAGO, IL
ZIP 60641
Phone: (773) 676-2123
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ENVISION UNLIMITED is a mental health (including community mental health center) clinic center in Chicago, IL. ENVISION UNLIMITED NPI is 1346732989. The provider is registered as an organization entity type.
The provider Other Name Is Cornelia.

The provider's business location address is:

4828 W CORNELIA AVE
CHICAGO, IL
ZIP 60641
Phone: (773) 676-2123

The provider's authorized official is Linda A Bruggemann .
The authorized official title is Billing Coordinator and has the following contact phone number (773) 506-3201.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 8/16/2018.

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	251B00000X	Case Management				No
2	251S00000X	Community/Behavioral Health				No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness				No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	18004	ILLINOIS	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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