Healthcare Provider Details

I. General information

NPI: 1790507192
Provider Name (Legal Business Name): YWCA METROPOLITAN CHICAGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 S COTTAGE GROVE AVE
CHICAGO IL
60637-4127
US

IV. Provider business mailing address

1 NORTH LASALLE STREET SUITE 1700
CHICAGO IL
60602
US

V. Phone/Fax

Practice location:
  • Phone: 773-955-3100
  • Fax:
Mailing address:
  • Phone: 312-372-6600
  • 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: LOREN SIMMONS
Title or Position: CHIEF EMPOWERMENT OFFICER
Credential:
Phone: 312-372-2771