NPIMap

Organization Active NPI

Youth Outreach Services

  • Community/Behavioral Health Agency
  • Cicero, IL
National Provider Identifier
1245560788
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A-0534-0006-A Issued in IL
Legal business name
YOUTH OUTREACH SERVICES
Practice address
6117 W Cermak Rd
Cicero, IL 60804-2023
Phone
(773) 777-7112
Fax
(708) 652-5379
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Rick Velasquez, MSW
Title
Executive Director
Phone
(773) 777-7112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-0534-0006-A IL Primary

Addresses

Primary practice location

6117 W Cermak Rd
Cicero, IL 60804-2023

Mailing address

2411 W Congress Pkwy
Chicago, IL 60612-3534
Phone (773) 777-7112

National Provider Directory

National Provider Directory
Tax ID family
Youth Outreach Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

6117 W Cermak Rd
Cicero, IL 60804
Phone (708) 795-4747

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1245560788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123534",
            "telephone_number": "773-777-7112",
            "fax_number": "773-777-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042023",
            "telephone_number": "773-777-7112",
            "fax_number": "708-652-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-777-7112",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0534-0006-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.