PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC (NPI# 1609054725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609054725 |
| Entity Type | Organization |
| Organization Name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC |
| Practice Address |
1546 N Mannheim Rd Stone Park IL 60165-1117 |
| Mailing Address |
2319 S Damen Ave Chicago IL 60608-4209 |
| Practice Telephone | 7084100856 |
| Practice Fax Number | 7084100884 |
| Mailing Telephone | 7735790832 |
| Mailing Fax Number | 7735790762 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | MR. FRANCISCO CISNEROS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7735790832 |
| Authorized Official Credential | MA, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE GRANTS | A-0155-0004-A | 01 |
| IL | A-0155-0004-A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821597063 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 2259 S Damen Ave, Chicago, IL 60608-4232 | 2018-02-02 |
| 1528463569 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 500 E 47th St, Chicago, IL 60653-4208 | 2014-11-04 |
| 1659781029 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 2230 E 71st St, Chicago, IL 60649-2522 | 2014-05-06 |
| 1699953711 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2008-01-31 |
| 1235534298 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 3232 W 55th St, Chicago, IL 60632-2638 | 2014-11-03 |
| Street Address |
1546 N MANNHEIM RD |
| City | STONE PARK |
| State | IL |
| Zip Code | 60165-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275697914 | Syed A Ali | Chiropractor | 1813 N 38th Ave, Stone Park, IL 60165-1013 | 2006-12-20 |
| 1144766544 | Nicole Hernandez | Counselor | 1819 N 34th Ave, Stone Park, IL 60165-1023 | 2017-01-10 |
| 1679660740 | Village of Stone Park | Ambulance | 1745 N 35th Ave, Stone Park, IL 60165-1025 | 2006-10-09 |
| 1003931858 | Bellwood School Dist 88 | Local Education Agency (LEA) | 1801 N 36th Ave, Stone Park, IL 60165-1031 | 2007-03-20 |
| 1992901284 | Blanca Antonia Arenas | Developmental Therapist | 1827 N 43rd Ave, Stone Park, IL 60165-1039 | 2007-06-22 |
| 1578769840 | Carlos Rabi Arenas | Interpreter | 1827 N 43rd Ave, Stone Park, IL 60165-1039 | 2007-06-25 |
| 1689299257 | Precision Immediate Care and Medical Center, LLC | Clinic/Center | 3520 W North Ave, Stone Park, IL 60165-1042 | 2020-06-10 |
| 1174181820 | Ilene Trujillo | Behavior Technician | 1642 N 40th Ave, Stone Park, IL 60165-1112 | 2019-05-29 |
| 1184846339 | Genis Enterprise Inc. | Pharmacy | 1550 N Mannheim Rd, Stone Park, IL 60165-1117 | 2007-05-03 |
| 1437304631 | Cambridge Medical Clinic, LLC | Urology | 1550 N Mannheim Rd Ste C, Stone Park, IL 60165-1300 | 2008-12-02 |
| Find all providers in zip 60165 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | STONE PARK |
| Zip Code | 60165 |
Please comment or provide details below to improve the information on PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
| 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.