CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO (NPI# 1699009092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699009092 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Practice Address |
6202 S Halsted St Chicago IL 60621-2029 |
| Mailing Address |
721 N La Salle Dr Chicago IL 60654-3503 |
| Practice Telephone | 3126557984 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | MONSIGNOR MICHAEL M BOLAND (ADMINISTRATOR, PRESIDENT AND CEO) |
| Authorized Official Telephone | 3126557460 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 04019 | IL | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04019 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DCFS-MEDICAID | 0039714330 | 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 |
6202 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174519797 | Kwang Nam Lee | Family Medicine | 6202 S Halsted St, Chicago, IL 60621-2029 | 2005-09-20 |
| 1861968422 | Meghan Burcl | Counselor | 6202 S Halsted St, Chicago, IL 60621-2029 | 2018-10-22 |
| 1013285477 | Clara Akhigbe Md | Clinic/Center | 6202 S Halsted St, Chicago, IL 60621-2029 | 2011-12-13 |
| 1730378423 | Chung M. Song, Md, Sc | Internal Medicine | 6202 S Halsted St, Chicago, IL 60621-2029 | 2007-10-17 |
| 1710019245 | Reymar Dental Clinic | Clinic/Center | 6202 S Halsted St, Chicago, IL 60621-2029 | 2007-03-11 |
| 1710914999 | Chung Song | Internal Medicine | 6202 S Halsted St, Chicago, IL 60621-2029 | 2006-06-26 |
| 1255322350 | Marina Malinkovich | Dentist | 6202 S Halsted St, Chicago, IL 60621-2029 | 2005-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.