CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO; NPI #1245646272

Contact Information

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

1717 RAND RD
DES PLAINES, IL 60016-3509

Phone: 847-376-2100
Fax:
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
Case Manager/Care Coordinator	171M00000X
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Professional	101YP2500X
Social Worker	104100000X

Indicates primary specialty

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NPI Profile & details for CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

NPI # 1245646272

LBN Legal business name CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

Authorized official PAMELA DAVIS - (DEPARTMENT DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/10/2014

Last updated 05/31/2023 - About 3 years ago

Identifiers

IL	License #	04019
IL	Medicaid	04019

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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