UCAN (NPI# 1346803111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346803111 |
| Entity Type | Organization |
| Organization Name | UCAN |
| Practice Address |
212 S Francisco Ave Chicago IL 60612-3618 |
| Mailing Address |
3605 W Fillmore St Chicago IL 60624-4310 |
| Practice Telephone | 7736963210 |
| Practice Fax Number | 7732179364 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | ZACK SCHRANTZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 7735880180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05-CHR-011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124476726 | Ucan | Clinic/Center | 3640 W Fillmore St, Chicago, IL 60624-4309 | 2016-05-25 |
| 1568796001 | Ucan | Community/Behavioral Health | 13700 S Indiana Ave, Riverdale, IL 60827-1842 | 2009-10-01 |
| 1447584990 | Ucan | Foster Care Agency | 3605 W. Fillmore St., Chicago, IL 60624-4309 | 2009-09-30 |
| 1356385199 | Ucan | Local Education Agency (LEA) | 10046 S. Western Ave., Chicago, IL 60643 | 2006-06-15 |
| 1811221666 | Ucan | Clinic/Center | 830 W End Ct, Vernon Hills, IL 60061-1365 | 2009-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UCAN | 3605 W Fillmore St, Chicago, IL 60624-4310 |
| Oregon Corporations, Companies and Business Names | UCAN | 280 Kenneth Ford Drive, Roseburg, OR 97470 |
| System for Award Management (SAM) Entities | UCAN COMPANY, THE | 11 Research Dr Ste 1, Woodbridge, CT 06525-2350 |
| Massachusetts Corporations | UCAN CORPORATION | Mellon Bank,n.a., Mellon Square-rm 2531, Pittsburgh, PA 15230 |
| Oregon Corporations, Companies and Business Names | UCAN MONEY MANAGEMENT | 280 Kenneth Ford Drive, Roseburg, OR 97470 |
| System for Award Management (SAM) Entities | UCAN ZIPPERS | 1930 Long Beach Ave, Los Angeles, CA 90058-1020 |
| New York State Corporations | UCAN, INC. | Rev. Michael Schuenemeyer, 700 Prospect Ave. E., Cleveland, Oh 441151100 |
| Massachusetts Corporations | UCAN, INC. | 84 State St., C/o Richard B. Osterberg, Esq., Boston, MA 02109 |
| New York State Corporations | UCAN-OGDEN HOUSING DEVELOPMENT FUND CORP. | 1044 Northern Blvd. 2nd Fl., Roslyn, Ny 11576 |
| New York State Corporations | UCAN-WHITE PLAINS HOUSING DEVELOPMENT FUND CORP. | 1044 Northern Blvd., 2nd Fl, Roslyn, Ny 11576 |
| Street Address |
212 S FRANCISCO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053961524 | Alicia Ann Thomas | Counselor | 212 S Francisco Ave, Chicago, IL 60612-3618 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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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.