# PROGRESSIVE MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598361651
- **Authorized official:** SHERANN IVY APRN-FPA (APN)
- **Authorized official phone:** (312) 285-2982

## Contact information

- **Practice address:** 2259 W TAYLOR ST, CHICAGO, IL 60612-4233
- **Practice address phone:** (773) 517-8360
- **Mailing address:** 2259 W TAYLOR ST, CHICAGO, IL 60612-4233
- **Mailing address phone:** (773) 517-8360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 02/17/2021