| Pilsen-little Village Community Mental Health Center, Inc | |
|
1633 N 37th Ave Melrose Park IL 60160-1723 | |
| (708) 343-7860 | |
| (708) 343-7895 |
| Full Name | Pilsen-little Village Community Mental Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1633 N 37th Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Francisco Cisneros (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7735790832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilsen-little Village Community Mental Health Center, Inc 2319 S Damen Ave Chicago IL 60608-4209 Ph: (773) 579-0832 | Pilsen-little Village Community Mental Health Center, Inc 1633 N 37th Ave Melrose Park IL 60160-1723 Ph: (708) 343-7860 |
| NPI Number | 1699953711 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699953711 | NPI | - | NPPES |
| A-0155-0003-A | Medicaid | IL | |
| A-0155-0003-A | Other | IL | STATE GRANT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Resurrection Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Presence Behavioral Health Procare Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8501 Fax: 708-681-3958 | |
Westlake Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-938-7040 | |
Resurrection Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Proviso Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-2324 Fax: 708-345-5496 | |
Resurrection Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Vhs Westlake Hospital Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 615-665-6000 Fax: 615-665-6197 |