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MYSI CORPORATION NPI 1639542681


NPI Information

NPI: 1639542681
Provider Name: MYSI CORPORATION
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3001 W 111TH ST
SUITE 103
CHICAGO, IL
ZIP 60655
Phone: (773) 840-4600
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MYSI CORPORATION is a mental health (including community mental health center) clinic center in Chicago, IL. MYSI CORPORATION NPI is 1639542681. The provider is registered as an organization entity type.

The provider's business location address is:

3001 W 111TH ST
SUITE 103
CHICAGO, IL
ZIP 60655-240
Phone: (773) 840-4600
Fax: (773) 840-4606

The provider's authorized official is Toleda Hart .
The authorized official title is President/ceo and has the following contact phone number (773) 840-4600.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 5/3/2017.


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
1251S00000XCommunity/Behavioral Health15011ILLINOISNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)15011ILLINOISYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115011MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.