Healthcare Provider Details

I. General information

NPI: 1669771275
Provider Name (Legal Business Name): PILLARS COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 WINDSOR AVE.
BERWYN IL
60402
US

IV. Provider business mailing address

333 N. LAGRANGE ROAD STE. 1
LA GRANGE PARK IL
60526
US

V. Phone/Fax

Practice location:
  • Phone: 708-995-3702
  • Fax: 708-995-3703
Mailing address:
  • Phone: 708-995-3506
  • Fax: 708-995-3703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA SIRNA CURRAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 708-579-4781