ARDENT COMMUNITY WELLNESS CENTER NPI 1477952562

NPI Information

NPI: 1477952562
Provider Name: ARDENT COMMUNITY WELLNESS CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3166 N LINCOLN AVE
SUITE 401
CHICAGO, IL
ZIP 60657
Phone: (630) 473-3091
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ARDENT COMMUNITY WELLNESS CENTER is a mental health (including community mental health center) clinic center in Chicago, IL. ARDENT COMMUNITY WELLNESS CENTER NPI is 1477952562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3166 N LINCOLN AVE
SUITE 401
CHICAGO, IL
ZIP 60657-133
Phone: (630) 473-3091

The provider's authorized official is Stephen Baynes .
The authorized official title is Executive Director and has the following contact phone number (630) 473-3091.

The enumeration date for this NPI number is 8/14/2014 and was last updated on 4/25/2018.

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	101YM0800X	Counselor	Mental Health			No
2	251S00000X	Community/Behavioral Health			ILLINOIS	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	15018	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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