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Contact Information

CHICAGO YOUTH CENTERS
461 E 111TH ST
CHICAGO, IL60628-4558
 Phone: 773-468-4660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for CHICAGO YOUTH CENTERS

NPI Number 1851530406
LBN Legal business name CHICAGO YOUTH CENTERS
Authorized official J. WELLS - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2009
Last updated 02/05/2009 - About 17 years ago
Identifiers
IL License # 00418812
IL Other 08001 MEDICAID CERTIFICATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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