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General NPI Number Information
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NPI Number | 1356263099
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 2601 W MARQUETTE RD
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City | CHICAGO
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State | IL
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Zip | 60629-1817
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Country | US
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Telephone | 312-655-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 721 N LASALLE DRIVE
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City | CHICAGO
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State | IL
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Zip | 60654
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR - BEHAVIORAL HEALTH
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Name | ELLEN TANNENBAUM
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Credential |
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Telephone | 773-551-3067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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