ILLINOIS DEPARTMENT OF HUMAN SERVICES (NPI# 1407900343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407900343 |
| Entity Type | Organization |
| Organization Name | ILLINOIS DEPARTMENT OF HUMAN SERVICES |
| Other Organization Name | CHICAGO-READ MENTAL HEALTH CENTER |
| Practice Address |
4200 N Oak Park Ave Chicago IL 60634-1417 |
| Practice Telephone | 7737943733 |
| Practice Fax Number | 7737944046 |
| Mailing Telephone | 7737943733 |
| Mailing Fax Number | 7737944046 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | ANGIE C TANSOR (PATIENT RESOURCE UNIT REP) |
| Authorized Official Telephone | 7737943733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | ========= | IL | Hospitals |
| Other Name | Type Code |
|---|---|
| Chicago-Read Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430124 | Illinois Department of Human Services | Psychiatric Hospital | 901 Southwind Dr, Springfield, IL 62703-5125 | 2006-01-04 |
| 1376525204 | Illinois Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1120 Washington Ave, Dixon, IL 61021-1258 | 2005-11-16 |
| 1356338198 | Illinois Department of Human Services | Psychiatric Hospital | 4402 N Main St, Rockford, IL 61103-1278 | 2005-10-05 |
| 1053535864 | Illinois Department of Human Services | Intermediate Care Facility, Mentally Retarded | 114 N Orchard Dr, Park Forest, IL 60466-1200 | 2007-04-12 |
| 1154453991 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1000 N Main St, Anna, IL 62906-1652 | 2007-03-09 |
| 1639214760 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1535 W Mccord St, Centralia, IL 62801-5805 | 2007-02-20 |
| 1548305675 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1535 W Mccord St, Centralia, IL 62801-5805 | 2007-02-20 |
| 1437294568 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1535 W Mccord St, Centralia, IL 62801-5805 | 2007-02-20 |
| 1346385473 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1535 W Mccord St, Centralia, IL 62801-5805 | 2007-02-20 |
| 1053456186 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1535 W Mccord St, Centralia, IL 62801-5805 | 2007-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ILLINOIS DEPARTMENT OF HUMAN SERVICES | 401 S Clinton St, Chicago, IL 60607-3800 |
| Street Address |
4200 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857873 | Craig Whitney Jock | Psychologist | 4200 N Oak Park Ave, Psychology Department, Chicago, IL 60634-1417 | 2005-08-09 |
| 1679710297 | Debra S. Marsico | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1598902116 | Charles Joseph Stiava | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1164622361 | Yetunde Johnson | Psychiatry & Neurology | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-07-25 |
| 1013050178 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1922141084 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1780727842 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1285777342 | Idhs-chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1093858151 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1760525836 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1790197978 | Aurora Chicago Lakeshore Hospital, LLC | Psychiatric Hospital | 4720 Clarendon Road, Chicago, IL 60640-7860 | 2014-05-22 |
| 1437315017 | Northwestern Memorial Hospital | Psychiatric Hospital | 446 E Ontario St Ste 7-200, Chicago, IL 60611-4418 | 2008-08-01 |
| 1609072313 | Mount Sinai Community Foundation | Psychiatric Hospital | 2040 W Washington Blvd, Chicago, IL 60612-2429 | 2007-06-21 |
| 1659338168 | Aurora Chicago Lakeshore Hospital LLC | Psychiatric Hospital | 4840 N Marine Dr, Chicago, IL 60640-7860 | 2006-04-27 |
| 1972843704 | Garfield Park Hospital, L.L.C. | Psychiatric Hospital | 520 N Ridgeway Ave, Chicago, IL 60624-1232 | 2013-02-14 |
| 1245560887 | Childrens Memorial Hospital | Psychiatric Hospital | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2010-01-04 |
| 1700082971 | Mount Sinai Community Foundation | Psychiatric Hospital | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2007-06-25 |
| 1588860092 | Mount Sinai Community Foundation | Psychiatric Hospital | 1501 S California Ave, Nr513, Chicago, IL 60608-1732 | 2007-06-22 |
| 1457556516 | Mount Sinai Community Foundation | Psychiatric Hospital | 1011 W Lake St, Suite 200, Chicago, IL 60607-1714 | 2007-06-19 |
| 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.