Arch Angel Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ARCH ANGEL SERVICES, LLC

Practice address

10 S Riverside PLZ
Suite 1800
Chicago, IL 60606-3728

Phone

(312) 474-6189

Fax

(312) 474-6099

NPI assigned

Oct 17, 2011

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Antuan Durall Wilbon, MSW

Title

Ceo

Phone

(312) 474-6189

Specialties & licenses 1

Addresses

Tax ID family

Arch Angel Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arch Angel Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1720581101
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1053696534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "SUITE 1800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "312-474-6189",
            "fax_number": "312-474-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "SUITE 1800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "312-474-6189",
            "fax_number": "312-474-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH ANGEL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "WILBON",
        "authorized_official_first_name": "ANTUAN",
        "authorized_official_middle_name": "DURALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-474-6189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dean Arceneaux, DO
• Cristina Arceo, MS RDN LDN IBCLC
• Shanna Sofia Arceo, MSW
• Arch - C PLLC (ARCH Counseling Center)
• Arch Angel Services
• Arch Angels Services
• Emily L Arch, MD
• Archer Dental Specialist Inc
• Archer Dentistry LLC
• Archer Family Dental LTD

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.