YOUTH OUTREACH SERVICES (NPI# 1770704579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770704579 |
| Entity Type | Organization |
| Organization Name | YOUTH OUTREACH SERVICES |
| Practice Address |
6417 W Irving Park Rd Chicago IL 60634-2437 |
| Mailing Address |
2411 W Congress Pkwy Chicago IL 60612-3534 |
| Practice Telephone | 7737777112 |
| Practice Fax Number | 7737777611 |
| Mailing Telephone | 7737777112 |
| Mailing Fax Number | 7737777611 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | MR. RICK VELASQUEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7737777112 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | A-0534-0007-A | IL | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0534-0007-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1922411008 | Youth Outreach Services | Clinic/Center | 5910 W Division St, Chicago, IL 60651-1031 | 2014-06-06 |
| 1811227341 | Youth Outreach Services | Clinic/Center | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2010-01-06 |
| 1245560788 | Youth Outreach Services | Community/Behavioral Health | 6117 W Cermak Rd, Cicero, IL 60804-2023 | 2010-01-06 |
| 1538772413 | Youth Outreach Services | Community/Behavioral Health | 10 E Washington St, Highland Springs, VA 23075-1905 | 2020-08-28 |
| 1659825560 | Youth Outreach Services | Community/Behavioral Health | 6417 W Irving Park Rd, Youth Outreach Services, Chicago, IL 60634-2437 | 2016-08-09 |
| 1568916476 | Youth Outreach Services | Community/Behavioral Health | 4419 W North Ave, Youth Outreach Services, Melrose Park, IL 60160-1021 | 2016-08-09 |
| 1023562303 | Youth Outreach Services | Community/Behavioral Health | 5910 W Division St, Youth Outreach Services, Chicago, IL 60651-1031 | 2016-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | YOUTH OUTREACH SERVICES LLC | 7957 Drake Dr, Chandler, IN 47610 |
| Street Address |
6417 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160299 | Katherine Rack | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2020-09-25 |
| 1144835158 | Brieann Tosti | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2020-09-15 |
| 1497365415 | Marian Etta Towns | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2020-08-04 |
| 1043838568 | Mariana Queiroz | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2020-07-10 |
| 1407484165 | Sandy Chavez | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2020-03-30 |
| 1679110720 | Xiujuan Tu | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2019-12-09 |
| 1346886900 | Adilene Delgado | Occupational Therapist | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2019-11-19 |
| 1447895461 | Travianna Maleikia Jones | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2019-11-13 |
| 1801439518 | Lily C Nelson | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2019-10-25 |
| 1649741620 | Ana Martinez | Counselor | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| 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.