Organization · Type 2 NPI

Chicago City of

Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

NPI number 1093715237 Active

Practice location

333 S State St, Revenue #200
Chicago, IL 60604-3900

Fax (312) 747-9447

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

26 other providers at this address

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NPI record

NPI: 1093715237
Entity type: Organization (Type 2)
Issued: Jul 29, 2005
Last updated: Oct 28, 2022
Status: Active
Subpart: Yes of Chicago City of

Other names

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Chicago Department of Public Health · doing business as
City of Chicago Department of Public Health · doing business as
CDPH · other name

Authorized official

Joyce Morris
Projects Administrator
(312) 747-9545

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093715237

Chicago City of's National Provider Identifier is 1093715237, issued on Jul 29, 2005. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2022.