Organization · Type 2 NPI

Pilsen Little Village Community Mental Health Center

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

NPI number 1962712406 Active

Practice location

1407 S 49th Ct
Cicero, IL 60804-1428

Call (708) 683-5500 Map

Fax (708) 683-5505

Mailing address

2319 S Damen Ave
Chicago, IL 60608-4209

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...

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

See all in Cicero →

NPI record

NPI: 1962712406
Entity type: Organization (Type 2)
Issued: Oct 18, 2010
Last updated: Apr 9, 2021
Status: Active

Other names

<unavail>
Pilsen Wellness Center, Inc · doing business as
Pilsen Wellness Center, Inc · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1962712406

Pilsen Little Village Community Mental Health Center's National Provider Identifier is 1962712406, issued on Oct 18, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Cicero, IL. The record was last updated on Apr 9, 2021.