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PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER NPI 1427317098


NPI Information

NPI: 1427317098
Provider Name: PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER

Doing Business As: PILSEN WELLNESS CENTER, INC.

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2456 W 38TH ST
CHICAGO, IL
ZIP 60632
Phone: (773) 823-7743
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PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Chicago, IL. PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER NPI is 1427317098. The provider is registered as an organization entity type.
The provider Is Doing Business As Pilsen Wellness Center, Inc..

The provider's business location address is:

2456 W 38TH ST
CHICAGO, IL
ZIP 60632-008
Phone: (773) 823-7743
Fax: (773) 823-7740

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

The enumeration date for this NPI number is 5/16/2012 and was last updated on 4/9/2021.


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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