CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO (NPI# 1033666490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033666490 |
Entity Type | Organization |
Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
Practice Address |
671 S. Lewis Ave. Waukegan IL 60085 |
Mailing Address |
671 S Lewis Ave Waukegan IL 60085-6101 |
Practice Telephone | 8477824143 |
Practice Fax Number | 8477821030 |
Mailing Telephone | 8477824143 |
Mailing Fax Number | 8477821030 |
Enumeration Date | 2016-09-02 |
Last Update Date | 2016-09-02 |
Authorized Official Name | LAURA KUEVER (PROGRAM DIRECTOR) |
Authorized Official Telephone | 8477824265 |
Authorized Official Credential | LCSW, CADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 150.009497 | IL | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922643055 | Catholic Charities of The Archdiocese of Chicago | Clinic/Center | 3019 W Harrison St, Chicago, IL 60612-3342 | 2019-11-13 |
1881081263 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 1400 S Austin Blvd, Cicero, IL 60804-1003 | 2015-04-23 |
1003217506 | Catholic Charities of The Archdiocese of Chicago | Case Management | 1800 N Hermitage Ave, Chicago, IL 60622-1161 | 2014-09-16 |
1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
1215282926 | Catholic Charities of The Archdiocese of Chicago | Case Management | 721 N Lasalle St, 5th Floor, Chicago, IL 60610 | 2012-07-18 |
1245564640 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 641 W Lake St, Chicago, IL 60661-1007 | 2009-10-01 |
1881928398 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 11255 S Michigan Ave, Chicago, IL 60628-4909 | 2009-09-30 |
1295854446 | Catholic Charities of The Archdiocese of Chicago | Clinic/Center | 721 N La Salle Dr, Chicago, IL 60654-3751 | 2007-03-28 |
1407971211 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 1100 S May St, Fl 2, Chicago, IL 60607-4229 | 2007-03-20 |
1629130083 | Catholic Charities of The Archdiocese of Chicago | Case Management | 116 Lincoln Ave, Round Lake, IL 60073-5009 | 2006-12-14 |
Street Address |
671 S. LEWIS AVE. |
City | WAUKEGAN |
State | IL |
Zip Code | 60085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
1598189201 | Dr. Ricardo G. Tapiador | Health Maintenance Organization | 1616 Grand Avenue, Ste. 106, Waukegan, IL 60085 | 2014-02-17 |
Find all providers in zip 60085 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710448089 | Chicago Hope Services | Community/Behavioral Health | 430 Cory Ave, Waukegan, IL 60085-4027 | 2019-03-28 |
1851715205 | Nicasa, Nfp | Community/Behavioral Health | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2014-02-05 |
1265767214 | One Hope United | Community/Behavioral Health | 2115 S Ernie Krueger Cir, Waukegan, IL 60087-4156 | 2009-10-08 |
1619146420 | Independence Center | Community/Behavioral Health | 320 N Ash St, Waukegan, IL 60085-3985 | 2008-02-26 |
1720290091 | County of Lake | Community/Behavioral Health | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
1477765741 | County of Lake | Community/Behavioral Health | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2007-05-07 |
1174745160 | County of Lake | Community/Behavioral Health | 3010 Grand Ave., Waukegan, IL 60085 | 2007-05-02 |
1356888515 | County of Lake | Community/Behavioral Health | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2017-01-26 |
1093181141 | Truth Youth & Family Services, LLC | Community/Behavioral Health | 2504 Washington St., 300 B/c, Waukegan, IL 60085 | 2015-08-12 |
1043690555 | Cognitive Pathways | Community/Behavioral Health | 2504 Washington St, Suite 403, Waukegan, IL 60085-4983 | 2015-06-01 |
Find all providers in WAUKEGAN |
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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.