MARYVILLE ACADEMY; NPI #1144957010

Contact Information

MARYVILLE ACADEMY

6650 W IRVING PARK RD
CHICAGO, IL 60634-2435

Phone: 773-205-3605
Fax: 773-205-3639
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Case Management	251B00000X

Indicates primary specialty

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NPI Profile & details for MARYVILLE ACADEMY

NPI Number	`1144957010`
LBN Legal business name	MARYVILLE ACADEMY
Authorized official	NANCY WOULFE - (DIRECTOR OF BUSINESS DEVELOPMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/02/2022
Last updated	05/08/2023 - About 3 years ago
Identifiers	n/a

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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