FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO (NPI# 1831119767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831119767 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO |
| Practice Address |
5341 W Cermak Rd Cicero IL 60804-2817 |
| Practice Telephone | 7086566430 |
| Practice Fax Number | 7086566591 |
| Mailing Telephone | 7086566430 |
| Mailing Fax Number | 7086566591 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | LORENA NAVARRETE (OFFICE MANAGER) |
| Authorized Official Telephone | 7086566430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | IL | Agencies | |
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | WELLCARE | 1098789 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 1617631 | 01 |
| IL | HEALTH LINK | B98842 | 01 |
| IL | BEACON | 1179410 | 01 |
| IL | AETNA | 5765456 | 01 |
| IL | MOLINA | QMP000002397118 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265705990 | Family Service and Mental Health Center of Cicero | Voluntary or Charitable | 320 Lake St, Oak Park, IL 60302-2612 | 2012-02-10 |
| Street Address |
5341 W CERMAK RD |
| City | CICERO |
| State | IL |
| Zip Code | 60804-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042048 | Fernando Romulo Jr. | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2020-08-05 |
| 1942855994 | Aida Rodriguez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2019-08-06 |
| 1154884013 | Marisol Guadalupe Arreola | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2019-04-08 |
| 1487148730 | Eddy Barajas | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2892 | 2018-06-20 |
| 1699296160 | Daisy Lemus | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-07-05 |
| 1023548955 | Roxanna Chavez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-06-13 |
| 1477080984 | Carolina Rada | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-05-15 |
| 1700262235 | Carol Salas | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-08-06 |
| 1255716288 | Erica Linares | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-07-20 |
| 1053724161 | Silvia Gomez | Social Worker | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| 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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| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.