Organization
CHICAGO MENTAL AND LIFEWELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMALITA TILLMAN (MANAGER)
(773) 439-9748
Entity
Organization
Contact information
Practice address
4645 S KING DR, CHICAGO, IL 60653-4148
(773) 439-9748
Mailing address
4645 S KING DR, CHICAGO, IL 60653-4148
(773) 439-9748
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
03/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us