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Organization
NISSA FOUNDATION
Active
Organization
NISSA FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIVA VILENSKI (EXECUTIVE DIRECTOR)
(773) 216-2904
Entity
Organization
Contact information
Practice address
8170 MCCORMICK BLVD STE 107, SKOKIE, IL 60076-2914
(847) 213-0239
Mailing address
8170 MCCORMICK BLVD STE 107, SKOKIE, IL 60076-2914
(847) 213-0239
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
01/06/2026
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