NPIMap

Organization Active NPI

Lester & Rosalie Anixter Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1093209264
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LESTER & ROSALIE ANIXTER CENTER
Practice address
5108 W Roscoe St
Chicago, IL 60641-4204
Phone
(773) 685-7541
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Mary Desmond
Title
Sr. Director of Finance
Phone
(773) 761-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5108 W Roscoe St
Chicago, IL 60641-4204

Mailing address

6610 N Clark St
Chicago, IL 60626-4062
Phone (773) 761-1501

Other identifiers 1

IdentifierTypeStateIssuer
36224489001MedicaidIL

Other names 1

  • Anixter Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lester and Rosalie Anixter Center26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1093209264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264062",
            "telephone_number": "773-761-1501",
            "fax_number": "773-274-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414204",
            "telephone_number": "773-685-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER & ROSALIE ANIXTER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "773-761-1501"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36224489001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anixter Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.