PROVISO PUBLIC PARTNERSHIP NPI 1801304142

NPI Information

NPI: 1801304142
Provider Name: PROVISO PUBLIC PARTNERSHIP
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4565 HARRISON ST FL 3
HILLSIDE, IL
ZIP 60162
Phone: (708) 240-4435
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PROVISO PUBLIC PARTNERSHIP is a mental health (including community mental health center) clinic center in Hillside, IL. PROVISO PUBLIC PARTNERSHIP NPI is 1801304142. The provider is registered as an organization entity type.

The provider's business location address is:

4565 HARRISON ST FL 3
HILLSIDE, IL
ZIP 60162-617
Phone: (708) 240-4435
Fax: (708) 449-6421

The provider's authorized official is Kate Minella .
The authorized official title is Chief Financial Officer and has the following contact phone number (708) 240-4435.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 7/22/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental 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: 4/28/2024

NPI Synchronization or Removal

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