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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

NPI Number 1598361651
LBN Legal business name PROGRESSIVE MENTAL HEALTH
Authorized official SHERANN IVY - (APN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2020
Last updated 02/17/2021 - About 5 years ago
Identifiers
IL Medicaid 341029006
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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