Healthcare Provider Details

I. General information

NPI: 1306790662
Provider Name (Legal Business Name): NUWAY BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 79TH ST
CHICAGO IL
60619-2302
US

IV. Provider business mailing address

110 E 79TH ST
CHICAGO IL
60619-2302
US

V. Phone/Fax

Practice location:
  • Phone: 773-723-2790
  • Fax: 773-723-2986
Mailing address:
  • Phone: 773-723-2790
  • Fax: 773-723-2986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: OLAJIDE SOLOLA
Title or Position: PRESIDENT
Credential:
Phone: 773-723-2790