Healthcare Provider Details

I. General information

NPI: 1396697769
Provider Name (Legal Business Name): PROJECT BROTHERHOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 E 55TH ST UNIT 15282
CHICAGO IL
60615-2575
US

IV. Provider business mailing address

1510 E 55TH ST UNIT 15282
CHICAGO IL
60615-2575
US

V. Phone/Fax

Practice location:
  • Phone: 773-573-7295
  • Fax:
Mailing address:
  • Phone: 773-573-7295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARCUS MURRAY
Title or Position: EXECUTIVE DIRECTOR
Credential: MURRAY
Phone: 773-573-7295