Pilsen-little Village Community Mental Health Center, Inc | |
1633 N 37th Ave Melrose Park IL 60160-1723 | |
(708) 343-7860 | |
(708) 343-7895 |
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 | 1633 N 37th Ave, Melrose Park, Illinois |
Authorized Official Name and Position | Francisco Cisneros (EXECUTIVE DIRECTOR) |
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 1633 N 37th Ave Melrose Park IL 60160-1723 Ph: (708) 343-7860 |
NPI Number | 1699953711 |
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Provider Enumeration Date | 01/31/2008 |
Last Update Date | 04/09/2021 |
Certification Date | 04/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699953711 | NPI | - | NPPES |
A-0155-0003-A | Medicaid | IL | |
A-0155-0003-A | Other | IL | STATE GRANT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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