CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO (NPI# 1407394984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407394984 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Practice Address |
2601 W Marquette Rd Chicago IL 60629-1817 |
| Practice Telephone | 7733498052 |
| Practice Fax Number | 7733498083 |
| Mailing Telephone | 3126557167 |
| Mailing Fax Number | 3123821612 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | MICHAEL BOLAND (PRESIDENT/CEO) |
| Authorized Official Telephone | 3126557000 |
| Authorized Official Credential | MONSIGNOR |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0173-0017-A | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DASA | A-0173-0017-A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922643055 | Catholic Charities of The Archdiocese of Chicago | Clinic/Center | 3019 W Harrison St, Chicago, IL 60612-3342 | 2019-11-13 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1881081263 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 1400 S Austin Blvd, Cicero, IL 60804-1003 | 2015-04-23 |
| 1003217506 | Catholic Charities of The Archdiocese of Chicago | Case Management | 1800 N Hermitage Ave, Chicago, IL 60622-1161 | 2014-09-16 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1215282926 | Catholic Charities of The Archdiocese of Chicago | Case Management | 721 N Lasalle St, 5th Floor, Chicago, IL 60610 | 2012-07-18 |
| 1245564640 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 641 W Lake St, Chicago, IL 60661-1007 | 2009-10-01 |
| 1881928398 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 11255 S Michigan Ave, Chicago, IL 60628-4909 | 2009-09-30 |
| 1295854446 | Catholic Charities of The Archdiocese of Chicago | Clinic/Center | 721 N La Salle Dr, Chicago, IL 60654-3751 | 2007-03-28 |
| 1407971211 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 1100 S May St, Fl 2, Chicago, IL 60607-4229 | 2007-03-20 |
| Street Address |
2601 W MARQUETTE RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278559 | Veronica Lopez | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2015-10-22 |
| 1811505811 | Jessica Garcia-otero | Nurse Practitioner | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2020-07-16 |
| 1578196176 | Shannon Marie Oreilly | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2020-02-21 |
| 1477100436 | Michael Yitref | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-08-23 |
| 1275195109 | Alexandria Simone Buckley | Clinic/Center | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-07-01 |
| 1629633003 | Hannah Swenson | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-05-01 |
| 1336703370 | Mike Schuetter | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-04-25 |
| 1518429471 | Nadia Neimanas | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-04-01 |
| 1457829285 | Margarita Rivera Leon | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2018-11-09 |
| 1144707365 | Kelsha Reyes | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.