CCLV 23 NPI 1558677526

NPI Information

CCLV 23 is a mental health (including community mental health center) clinic center in Chicago, IL. CCLV 23 NPI is 1558677526. The provider is registered as an organization entity type.

The provider's business location address is:

3223 N SHEFFIELD AVE
CHICAGO, IL
ZIP 60657-298
Phone: (773) 549-5886
Fax: (773) 549-3265

The provider's authorized official is Daniel P Kanter .
The authorized official title is Controller and has the following contact phone number (773) 549-1102.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 7/8/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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