Organization
AUTUMN HEALTHCARE OF ILLINOIS
Active
Organization
AUTUMN HEALTHCARE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BROWN (OFFICE MANAGER)
(773) 852-7454
Entity
Organization
Contact information
Practice address
9449 S KEDZIE AVE, SUITE 142, EVERGREEN PK, IL 60805-2325
(773) 420-3481
Mailing address
9449 S KEDZIE AVE, EVERGREEN PK, IL 60805-2325
(773) 420-3481
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/27/2018
Last updated
10/23/2025
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