Healthcare Provider Details
I. General information
NPI: 1639853070
Provider Name (Legal Business Name): COMPREHENSIVE LEARNING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2023
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 E 47TH ST
CHICAGO IL
60653-4507
US
IV. Provider business mailing address
8334 S INDIANA AVE
CHICAGO IL
60619-4727
US
V. Phone/Fax
- Phone: 773-324-6400
- Fax:
- Phone: 773-324-6400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISNA
PERRY
Title or Position: FOUNDER AND CEO
Credential: PHD
Phone: 312-217-1868