Autumn Healthcare Of Illinois

LBN: Autumn Healthcare Of Illinois
Autumn Healthcare Of Illinois is an health care organization with primary practice located at 9449 S Kedzie Ave Suite 142, Evergreen Pk IL 60805-2325. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Autumn Healthcare Of Illinois can be contacted via phone (773) 420-3481, or through Brown, James via phone (773) 852-7454.

Contact Information

Primary practice address
9449 S Kedzie Ave Suite 142 Evergreen Pk IL 60805-2325
Phone: (773) 420-3481
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, James
Phone: (773) 852-7454

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1205317377
LBN Legal business name Autumn Healthcare Of Illinois
DBA Doing business as
Authorized official Brown, James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2018
Last updated Dec 13th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers