| Pilsen Wellness Center, Inc | |
|
1407 S 49th Ct Cicero IL 60804-1428 | |
| (708) 683-5500 | |
| (708) 683-5505 |
| Full Name | Pilsen Wellness Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1407 S 49th Ct, 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 |
|---|---|
| Pilsen Wellness Center, Inc 2319 S Damen Ave Chicago IL 60608-4209 Ph: (773) 579-0832 | Pilsen Wellness Center, Inc 1407 S 49th Ct Cicero IL 60804-1428 Ph: (708) 683-5500 |
| NPI Number | 1962712406 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962712406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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