Westside Intervention Network
Community/Behavioral Health in Chicago, IL. Organization (NPI-2).
NPI number1134068554
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1134068554
- Entity type
- Organization (NPI-2)
- Legal business name
- Westside Intervention Network
- Organization subpart
- No
- Enumeration date
- Mar 28, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
4937 W Iowa StChicago, IL 60651-3113
Phone 773-640-2322
Mailing address
4937 W Iowa StChicago, IL 60651-3113
Phone 773-640-2322
Authorized official
Rachel T Jackson
Executive Director
7736402322
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