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Contact Information

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
671 S LEWIS AVE
WAUKEGAN, IL60085-6101
 Phone: 847-782-4154
 Fax: 847-782-1030
 Website:
Indicates primary specialty

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

NPI Number 1295154813
LBN Legal business name CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official MICHAEL BOLAND - (ADMINISTRATOR, PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/10/2014
Last updated 12/28/2023 - About 2 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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