Proviso Leyden Council For Community Action

LBN: Proviso Leyden Council For Community Action
Proviso Leyden Council For Community Action is an health care organization with primary practice located at 411 Madison St , Maywood IL 60153-2136. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Proviso Leyden Council For Community Action can be contacted via phone (708) 450-3500, or through Coker, Evelyn Joy via phone (708) 450-3500.

Contact Information

Primary practice address
411 Madison St Maywood IL 60153-2136
Phone: (708) 450-3500
Fax: (708) 236-5189
Website:
Map and Directions
Authorized official contact:
Name: Coker, Evelyn Joy Licensed Clinical Social Worker (LCSW)
Phone: (708) 450-3500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X Illinois

Profile Details

NPI number 1962781971
LBN Legal business name Proviso Leyden Council For Community Action
DBA Doing business as
Authorized official Coker, Evelyn Joy Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2011
Last updated Aug 8th, 2011 - about 13 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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