DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.

MEDICARE: PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1225418577
Entity Type Code : Organization
Provider Name (Legal Business Name) : PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 2319 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4209
Country : US
Telephone Number : 773-579-0832
Fax Number : 773-579-0762
Provider Business Practice Location Address
First Line : 2600 RIDGELAND AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-2725
Country : US
Telephone Number : 708-317-5926
Fax Number :
Authorized Official
Title or Position : PRESICENT/CEO
Name : DR. FRANCISCO CISNEROS
Credential :
Telephone Number : 773-579-0832
Provider Enumeration Date : 06/02/2015
Last Update Date : 04/09/2021

Similar Medicare Providers

1568317352 — MS. MARIA LUISA FERNANDEZ APAN MA, LCPC
Practice Location Address:
2600 RIDGELAND AVE
BERWYN, IL
60402-2725
Practice Phone: 708-317-5926
Practice Fax: 708-637-4316
1669844882 — MR. NESTOR ISAAC FLORES LCPC
Practice Location Address:
2600 RIDGELAND AVE
BERWYN, IL
60402-2725
Practice Phone: 708-317-5926
Practice Fax:
1912363672 — MRS. CARRIE ELIZABETH OHL L.C.S.W
Practice Location Address:
2600 RIDGELAND AVE
BERWYN, IL
60402-2725
Practice Phone: 708-317-5926
Practice Fax: 708-637-4316
1902393275 — MARLENI PELAYO MSW, LCSW
Practice Location Address:
2600 RIDGELAND AVE
BERWYN, IL
60402-2725
Practice Phone: 708-317-5926
Practice Fax: 708-637-4316
1629697578 — JANELLE OTERO
Practice Location Address:
2600 RIDGELAND AVE
BERWYN, IL
60402-2725
Practice Phone: 708-317-5926
Practice Fax:
1629823125 — SARAI FARIAS LMFT
Practice Location Address:
2600 RIDGELAND AVE
BERWYN, IL
60402-2725
Practice Phone: 708-317-5926
Practice Fax: 708-637-4316

Directions to “PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.