CCLAKEVIEW CILA
NPI 1811203813
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

NPI Status: Active since August 27, 2010

Contact Information

732 W GRACE ST
CHICAGO, IL
ZIP 60613
Phone: (773) 549-5886
Fax: (773) 549-3265

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CCLAKEVIEW CILA

This page provides the complete NPI Profile along with additional information for Cclakeview Cila, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1811203813 assigned on August 2010. The practitioner's primary taxonomy code is 261QM0801X with license number 04040 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Daniel P Kanter (Controller)

NPI
1811203813
Provider Name
CCLAKEVIEW CILA
Entity Type
Organization
Location Address
732 W GRACE ST CHICAGO, IL 60613
Location Phone
(773) 549-5886
Location Fax
(773) 549-3265
Mailing Address
3225 N SHEFFIELD AVE CHICAGO, IL 60657
Mailing Phone
(773) 549-5886
Mailing Fax
(773) 549-3265
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-27-2010
Last Update Date
06-28-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
04040
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL P KANTER

Authorized Official Title
CONTROLLER
Authorized Official Phone
(773) 549-1102

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========007MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811203813
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
282140682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 4 + 0 + 6 + 8 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1811203813 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811203813, enumerated in the NPI registry as an "organization" on August 27, 2010

The provider is located at 732 W Grace St Chicago, Il 60613 and the phone number is (773) 549-5886

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.