CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO


Address: 671 S. Lewis Ave., Waukegan, IL 60085
Phone: 8477824143

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 150.009497 IL Agencies

Other Provider IDs and Locations

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

Office Location

Street Address 671 S. LEWIS AVE.
City WAUKEGAN
State IL
Zip Code 60085

Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City WAUKEGAN
Zip Code 60085

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Dataset Information

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.

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