Organization · Type 2 NPI

Maryville Academy

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

NPI number 1144957010 Active

Practice location

6650 W Irving Park Rd
Chicago, IL 60634-2435

Fax (773) 205-3639

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
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...

Another provider at this address

Maryville AcademyLong Term Care Hospital Chicago, IL NPI 1578720041

Other mental health clinic/center (including community mental health center) providers in Chicago

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NPI record

NPI: 1144957010
Entity type: Organization (Type 2)
Issued: Aug 2, 2022
Last updated: May 8, 2023
Status: Active

Other names

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Maryville Crisis Nursery · other name
Maryville Crisis Nursery · other name

Authorized official

Nancy Z Woulfe
Director of Business Development
(847) 294-1910

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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 1144957010

Maryville Academy's National Provider Identifier is 1144957010, issued on Aug 2, 2022. 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 May 8, 2023.