MIDWEST BRAIN INJURY CLUBHOUSE NPI 1669876033

NPI Information

NPI: 1669876033
Provider Name: MIDWEST BRAIN INJURY CLUBHOUSE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 1021 W ADAMS ST.
SUITE 200
CHICAGO, IL
ZIP 60607
Phone: (312) 226-8720

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NPI Details

MIDWEST BRAIN INJURY CLUBHOUSE is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MIDWEST BRAIN INJURY CLUBHOUSE NPI is 1669876033. The provider is registered as an organization entity type.

The provider's business location address is:

1021 W ADAMS ST.
SUITE 200
CHICAGO, IL
ZIP 60607-936
Phone: (312) 226-8720
Fax: (312) 226-8722

The provider's authorized official is Tammiko Bess .
The authorized official title is Executive Director and has the following contact phone number (312) 226-8714.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 12/20/2023.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251B00000X	Case Management		No
3	251E00000X	Home Health		No
4	261Q00000X	Clinic/Center		No
5	261QA0600X	Clinic/Center	Adult Day Care	No
6	261QC1500X	Clinic/Center	Community Health	No
7	261QD1600X	Clinic/Center	Developmental Disabilities	No
8	261QP2000X	Clinic/Center	Physical Therapy	No
9	385H00000X	Respite Care		No
10	251S00000X	Community/Behavioral Health		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: 3/30/2025

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