LESTER AND ROSALIE ANIXTER CENTER (NPI# 1427262260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427262260 |
Entity Type | Organization |
Organization Name | LESTER AND ROSALIE ANIXTER CENTER |
Other Organization Name | ANIXTER CENTER |
Practice Address |
1945 W Wilson Ave Ste 3000 Chicago IL 60640-5256 |
Mailing Address |
6610 N Clark St First Floor Chicago IL 60626-4062 |
Practice Telephone | 7737611501 |
Mailing Telephone | 7737611501 |
Mailing Fax Number | 7739771240 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-05-01 |
Authorized Official Name | MARY DESMOND (CONTROLLER) |
Authorized Official Telephone | 7737611501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 04006 | IL | Agencies |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Anixter Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2032 N Clybourn Ave, Chicago, IL 606144004 | 8476753200 | 8476753274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699989236 | Lester and Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 1401 W Chase Ave, Chicago, IL 60626-2108 | 2007-05-10 |
1528271202 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 6610 N. Clark Street, Chicago, IL 60626 | 2007-05-08 |
1760695746 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 6610 N Clark St, Chicago, IL 60626-4062 | 2007-05-07 |
1528271582 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 2001 N Clybourn Ave, Second Floor, Chicago, IL 60614-4036 | 2007-05-07 |
1497975718 | Lester and Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 2045 W Jarvis Ave, Chicago, IL 60645-2305 | 2007-04-27 |
1306066626 | Lester and Rosalie Anixter Center | Clinic/Center | 2032 N Clybourn Ave, Chicago, IL 60614-4051 | 2007-04-27 |
1336369529 | Lester and Rosalie Anixter Center | Community/Behavioral Health | 6508 N Bosworth Ave, Chicago, IL 60626-4911 | 2007-04-27 |
1053531384 | Lester and Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 1727 W North Shore Ave, Chicago, IL 60626-4039 | 2007-04-27 |
1902337314 | Lester and Rosalie Anixter Center | Clinic/Center | 2829 S California Ave, Chicago, IL 60608-5106 | 2017-03-27 |
1891226544 | Lester and Rosalie Anixter Center | Clinic/Center | 8540 S Harlem Ave, Bridgeview, IL 60455-1778 | 2017-03-24 |
Street Address |
1945 W WILSON AVE STE 3000 |
City | CHICAGO |
State | IL |
Zip Code | 60640-5256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
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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 |
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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.