MEDICARE: PROJECT BROTHERHOOD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1396697769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROJECT BROTHERHOOD

Provider Business Mailing Address
First Line	:	1510 E 55TH ST UNIT 15282
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2575
Country	:	US
Telephone Number	:	773-573-7295
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 E 55TH ST UNIT 15282
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2575
Country	:	US
Telephone Number	:	773-573-7295
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MARCUS MURRAY
Credential	:	MURRAY
Telephone Number	:	773-573-7295

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “PROJECT BROTHERHOOD ” Practice Location

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