SIDNEY CHARITY FOUNDATION NPI 1417676453

NPI Information

  • NPI: 1417676453
  • Provider Name: SIDNEY CHARITY FOUNDATION
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1167 E 61ST ST APT 1
    CHICAGO, IL
    ZIP 60637
  • Phone: (312) 508-3829

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NPI Details

SIDNEY CHARITY FOUNDATION is a mental health counselor in Chicago, IL. SIDNEY CHARITY FOUNDATION NPI is 1417676453. The provider is registered as an organization entity type.

The provider's business location address is:

1167 E 61ST ST APT 1
CHICAGO, IL
ZIP 60637-919
Phone: (312) 508-3829

The provider's authorized official is Chaka Holley .
The authorized official title is Executive Director and has the following contact phone number (312) 508-3829.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 8/23/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QP2000XClinic/CenterPhysical TherapyNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5101YM0800XCounselorMental HealthYes

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: 11/21/2025

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