Healthcare Provider Details

I. General information

NPI: 1376431734
Provider Name (Legal Business Name): KLEO CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 S MORGAN ST STE 232
CHICAGO IL
60609-1533
US

IV. Provider business mailing address

3520 S MORGAN ST STE 232
CHICAGO IL
60609-1533
US

V. Phone/Fax

Practice location:
  • Phone: 773-363-6941
  • Fax:
Mailing address:
  • Phone: 773-363-6941
  • Fax:

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: MR. TORREY L BARRETT
Title or Position: CEO
Credential:
Phone: 773-363-6941