Catholic Charities Of The Archdiocese Of Chicago

LBN: Catholic Charities Of The Archdiocese Of Chicago
Catholic Charities Of The Archdiocese Of Chicago is an health care organization with primary practice located at 2310 W Roosevelt Rd Suite 2W, Chicago IL 60608-1131. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Catholic Charities Of The Archdiocese Of Chicago can be contacted via phone (312) 655-7191, or through Boland, Michael M. via phone (312) 655-7460.

Contact Information

Primary practice address
2310 W Roosevelt Rd Suite 2W Chicago IL 60608-1131
Phone: (312) 655-7191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boland, Michael M.
Phone: (312) 655-7460

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 04019 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 04019 Illinois

Profile Details

NPI number 1588042931
LBN Legal business name Catholic Charities Of The Archdiocese Of Chicago
DBA Doing business as
Authorized official Boland, Michael M.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2015
Last updated Dec 28th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588042931 NPPES
Illinois MEDICAID 04019

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