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Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).

NPI number1164085890
StatusActive
Last updated in NPPESApr 18, 2019

Details

NPI
1164085890
Entity type
Organization (NPI-2)
Legal business name
Envision Unlimited
Organization subpart
No
Enumeration date
Apr 18, 2019
Last updated
Apr 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Nashville- Mh (Other Name)

Practice location

4122 N Nashville Ave
Chicago, IL 60634-1429

Phone 773-283-5613

Mailing address

5080 N Elston Ave
Chicago, IL 60630-2459

Phone 773-506-3014 · Fax 773-676-2137

Authorized official

Natalie Blider
Director Of Revenue Cycle Managemen
7736762137

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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