| Presence Chicago Hospitals Network | |
| 
					1127 N Oakley Blvd 4th Floor Chicago IL 60622-3507  | |
| (773) 572-8500 | |
| (773) 572-8568 | 
| Full Name | Presence Chicago Hospitals Network | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 1127 N Oakley Blvd, Chicago, Illinois | 
| Authorized Official Name and Position | Lisa E Neuman (VP FINANCE) | 
| Authorized Official Contact | 2242730516 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Presence Chicago Hospitals Network 2900 N Lake Shore Dr Chicago IL 60657-5640 Ph: (773) 665-3236  | Presence Chicago Hospitals Network 1127 N Oakley Blvd 4th Floor Chicago IL 60622-3507 Ph: (773) 572-8500  | 
| NPI Number | 1366521296 | 
|---|---|
| Provider Enumeration Date | 11/02/2006 | 
| Last Update Date | 01/01/2022 | 
| Certification Date | 01/01/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366521296 | NPI | - | NPPES | 
| 363200170001 | Medicaid | IL | |
| 0415 | Other | IL | IL BX PROVIDER NUMB | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary | 
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709  | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429  | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601  | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250  | |
The Thresholds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488  | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505  | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422  |