LESTER AND ROSALIE ANIXTER CENTER (NPI# 1497975718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497975718 |
Entity Type | Organization |
Organization Name | LESTER AND ROSALIE ANIXTER CENTER |
Other Organization Name | ANIXTER CENTER |
Practice Address |
2045 W Jarvis Ave Chicago IL 60645-2305 |
Mailing Address |
6610 N Clark St First Floor Office Chicago IL 60626-4062 |
Practice Telephone | 7737611501 |
Mailing Telephone | 7737611501 |
Enumeration Date | 2007-04-27 |
Last Update Date | 2020-05-01 |
Authorized Official Name | MARY DESMOND (SR. DIRECTOR OF FINANCE) |
Authorized Official Telephone | 7737611501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 04006 | IL | Residential Treatment Facilities |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Anixter Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699989236 | Lester and Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 1401 W Chase Ave, Chicago, IL 60626-2108 | 2007-05-10 |
1427262260 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 1945 W Wilson Ave Ste 3000, Chicago, IL 60640-5256 | 2007-05-10 |
1528271202 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 6610 N. Clark Street, Chicago, IL 60626 | 2007-05-08 |
1760695746 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 6610 N Clark St, Chicago, IL 60626-4062 | 2007-05-07 |
1528271582 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 2001 N Clybourn Ave, Second Floor, Chicago, IL 60614-4036 | 2007-05-07 |
1306066626 | Lester and Rosalie Anixter Center | Clinic/Center | 2032 N Clybourn Ave, Chicago, IL 60614-4051 | 2007-04-27 |
1336369529 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 6508 N Bosworth Ave, Chicago, IL 60626-4911 | 2007-04-27 |
1053531384 | Lester and Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 1727 W North Shore Ave, Chicago, IL 60626-4039 | 2007-04-27 |
1902337314 | Lester and Rosalie Anixter Center | Clinic/Center | 2829 S California Ave, Chicago, IL 60608-5106 | 2017-03-27 |
1891226544 | Lester and Rosalie Anixter Center | Clinic/Center | 8540 S Harlem Ave, Bridgeview, IL 60455-1778 | 2017-03-24 |
Street Address |
2045 W JARVIS AVE |
City | CHICAGO |
State | IL |
Zip Code | 60645-2305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.