Progressive Mental Health

LBN: Progressive Mental Health
Progressive Mental Health is an health care organization with primary practice located at 2259 W Taylor St , Chicago IL 60612-4233. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Progressive Mental Health can be contacted via phone (773) 517-8360, or through Ivy, Sherann via phone (312) 285-2982.

Contact Information

Primary practice address
2259 W Taylor St Chicago IL 60612-4233
Phone: (773) 517-8360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ivy, Sherann APRN-FPA
Phone: (312) 285-2982

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1598361651
LBN Legal business name Progressive Mental Health
DBA Doing business as
Authorized official Ivy, Sherann APRN-FPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2020
Last updated Feb 17th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598361651 NPPES
Illinois MEDICAID 341029006

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