ADA S. MCKINLEY COMMUNITY SERVICES INC. NPI 1841304219

NPI Information

NPI: 1841304219
Provider Name: ADA S. MCKINLEY COMMUNITY SERVICES, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2715 W. 63RD STREET
CHICAGO, IL
ZIP 60629
Phone: (773) 918-6100
Get Directions

ADA S. MCKINLEY COMMUNITY SERVICES, INC. is a mental health (including community mental health center) clinic center in Chicago, IL. ADA S. MCKINLEY COMMUNITY SERVICES, INC. NPI is 1841304219. The provider is registered as an organization entity type.

The provider's business location address is:

2715 W. 63RD STREET
CHICAGO, IL
ZIP 60629-305
Phone: (773) 918-6100
Fax: (773) 434-6756

The provider's authorized official is Jamal Malone .
The authorized official title is Chief Executive Officer and has the following contact phone number (312) 385-2000.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/18/2021.

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	251G00000X	Hospice Care, Community Based			ILLINOIS	No
2	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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »