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Catholic Charities Of The Archdiocese Of Chicago

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

NPI number1699009092
StatusActive
Last updated in NPPESJul 29, 2026

Details

NPI
1699009092
Entity type
Organization (NPI-2)
Legal business name
Catholic Charities Of The Archdiocese Of Chicago
Organization subpart
Yes
Enumeration date
Oct 1, 2009
Certification date
Jul 29, 2026
Last updated
Jul 29, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)04019ILYes
251S00000X Community/Behavioral Health04019IL

Practice location

6202 S Halsted St
Chicago, IL 60621-2029

Phone 312-655-7984

Mailing address

721 N La Salle Dr
Chicago, IL 60654-3503

Authorized official

Ellen Tannenbaum
Director Behavioral Health
7735513067

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.

Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Chicago, IL

All 678 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Chicago · All 81,422 providers in Chicago

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