NPI 1235445552

City of Chicago Department of Mental Health

Organisation Exclusive Provider Organization Chicago, IL

Practice location

Address: 1140 W 79th St, Chicago, IL 60620-3029
Phone: (312) 747-0881
Mailing address: 33 South State Street, Chicago, IL 60604

Authorised official

Name: Joyce Morris
Title: Program Manager
Phone: (312) 747-0881

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Illinois →

Registry record

NPI: 1235445552
Entity type: Organization
NPI issued: 24 Aug 2010
Record last updated: 24 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.