Healthcare Provider Details

I. General information

NPI: 1528979762
Provider Name (Legal Business Name): WORLD RELIEF CORPORATION OF NATIONAL ASSOCIATION OF EVANGELICALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 W LAWRENCE AVE STE 208
CHICAGO IL
60625-5662
US

IV. Provider business mailing address

3507 W LAWRENCE AVE STE 208
CHICAGO IL
60625-5662
US

V. Phone/Fax

Practice location:
  • Phone: 773-583-9191
  • Fax: 773-583-9410
Mailing address:
  • Phone: 773-583-9191
  • Fax: 773-583-9410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE CUMMINGS
Title or Position: DIRECTOR OF COUNSELING CENTER
Credential: LCSW
Phone: 708-267-4188