Organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Active
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official
MONSIGNOR MICHAEL M BOLAND (ADMINISTRATOR, PRESIDENT AND CEO)
(312) 655-7460
Entity
Organization
Contact information
Practice address
6202 S HALSTED ST, CHICAGO, IL 60621-2029
(312) 655-7984
Mailing address
721 N LA SALLE DR, CHICAGO, IL 60654-3503
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
04019
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039714330
DCFS-MEDICAID
IL
Enumeration date
10/01/2009
Last updated
10/17/2023
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