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Contact Information

PROGRESSIVE MENTAL HEALTH
2259 W TAYLOR ST
CHICAGO, IL60612-4233
 Phone: 773-517-8360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PROGRESSIVE MENTAL HEALTH · (Female)

NPI # 1598361651
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2020
Last updated 02/17/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 341029006
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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