Healthcare Provider Details

I. General information

NPI: 1992668776
Provider Name (Legal Business Name): ESPERANZA COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N MARSHFIELD AVE
CHICAGO IL
60622-6731
US

IV. Provider business mailing address

520 N MARSHFIELD AVE
CHICAGO IL
60622-6731
US

V. Phone/Fax

Practice location:
  • Phone: 312-243-6097
  • Fax: 312-243-2076
Mailing address:
  • Phone: 312-243-6097
  • Fax: 312-243-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JAYNE M DREW
Title or Position: CEO
Credential:
Phone: 312-243-6097