Pilsen-little Village Community Mental Health Center, Inc. | |
5101 W Roosevelt Rd Cicero IL 60804-1315 | |
(773) 579-0832 | |
Not Available |
Full Name | Pilsen-little Village Community Mental Health Center, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5101 W Roosevelt Rd, Cicero, Illinois |
Authorized Official Name and Position | Francisco Cisneros (PRESIDENT & CEO) |
Authorized Official Contact | 7735790832 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pilsen-little Village Community Mental Health Center, Inc. 2319 S Damen Ave Chicago IL 60608-4209 Ph: (773) 579-0832 | Pilsen-little Village Community Mental Health Center, Inc. 5101 W Roosevelt Rd Cicero IL 60804-1315 Ph: (773) 579-0832 |
NPI Number | 1982449195 |
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Provider Enumeration Date | 06/28/2024 |
Last Update Date | 06/28/2024 |
Certification Date | 06/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982449195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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