Organization · Type 2 NPI

Pilsen-Little Village Community Mental Health Center, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Melrose Park, IL

NPI number 1114394624 Active

Practice location

1633 N 37th Ave
Melrose Park, IL 60160-1723

Call (708) 343-7860 Map

Fax (708) 343-7895

Mailing address

2319 S Damen Ave
Chicago, IL 60608-4209

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Pilsen-Little Village Community Mental Health Center, IncMental Health Clinic/Center (Including Community Mental Health Center) Melrose Park, IL NPI 1699953711

Other substance use disorder rehabilitation clinic/center providers in Melrose Park

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NPI record

NPI: 1114394624
Entity type: Organization (Type 2)
Issued: Sep 1, 2015
Last updated: Jun 7, 2019
Status: Active

Other names

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Pilsen Wellness Center, Inc · doing business as
Pilsen Wellness Center, Inc · doing business as

Authorized official

Dr. Francisco Cisneros
Presicent/ceo
(773) 579-0832

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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 1114394624

Pilsen-Little Village Community Mental Health Center, Inc.'s National Provider Identifier is 1114394624, issued on Sep 1, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Melrose Park, IL. The record was last updated on Jun 7, 2019.