PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1114394624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114394624 |
| Entity Type | Organization |
| Organization Name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Other Organization Name | PILSEN WELLNESS CENTER, INC |
| Practice Address |
1633 N 37th Ave Melrose Park IL 60160-1723 |
| Mailing Address |
2319 S Damen Ave Chicago IL 60608-4209 |
| Practice Telephone | 7083437860 |
| Practice Fax Number | 7083437895 |
| Mailing Telephone | 7735790832 |
| Mailing Fax Number | 7735790762 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | DR. FRANCISCO CISNEROS (PRESICENT/CEO) |
| Authorized Official Telephone | 7735790832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pilsen Wellness Center, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225418577 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2015-06-02 |
| 1154744480 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 1518 E 63rd St, Chicago, IL 60637-2921 | 2014-01-22 |
| 1073781811 | Pilsen-little Village Community Mental Health Center, Inc. | Case Management | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2008-02-14 |
| 1578787644 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3113 W Cermak Rd, Chicago, IL 60623-3449 | 2007-04-12 |
| 1245854389 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2938 E 89th St, Chicago, IL 60617-3244 | 2020-06-04 |
| 1932577780 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2001 S California Ave, Chicago, IL 60608-2486 | 2015-09-10 |
| 1003283540 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2015-09-01 |
| 1568839090 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3232 W 55th St, Chicago, IL 60632-2638 | 2015-09-01 |
| 1508034349 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2008-02-14 |
| Street Address |
1633 N 37TH AVE |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699953711 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811227341 | Youth Outreach Services | Clinic/Center | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2010-01-06 |
| 1316384597 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1115 N 23rd Ave, Melrose Park, IL 60160-3139 | 2013-05-29 |
| 1497902761 | Presence Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2008-08-19 |
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| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC..
| 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.