MEDICARE: WOCC, NFP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1740004910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOCC, NFP

Provider Business Mailing Address
First Line	:	3648 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3648 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5328
Country	:	US
Telephone Number	:	773-900-9622
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	SHERIE ARRIAZOLA MARTINEZ
Credential	:
Telephone Number	:	312-934-8595

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	03/04/2026

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