Active NPI
Westcare Illinois, Inc
- Adult Mental Health Clinic/Center
- Chicago, IL
National Provider Identifier
1366082232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WESTCARE ILLINOIS, INC
- Practice address
- 1100 W Cermak Rd Ste B116
Chicago, IL 60608-4540 - Phone
- (312) 568-7051
- Fax
- (312) 243-4107
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Lynn Cerinich, DO
- Title
- Medical Billing
- Phone
- (312) 568-7051
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1100 W Cermak Rd Ste B116
Chicago, IL 60608-4540
Mailing address
1100 W Cermak Rd # B414
Chicago, IL 60608-4500
Phone (312) 568-7051
National Provider Directory
National Provider Directory- Tax ID family
- Westcare Illinois Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Registered Nurse
- Chicago, IL
- NPI 1285101410
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1821535618
Locations
1100 W Cermak Rd
#B414
Chicago, IL 60608
1100 W Cermak Rd
Ste B116
Chicago, IL 60608
Phone (312) 568-7051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1366082232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W CERMAK RD # B414",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606084500",
"telephone_number": "312-568-7051",
"fax_number": "312-243-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W CERMAK RD STE B116",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606084540",
"telephone_number": "312-568-7051",
"fax_number": "312-243-4107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCARE ILLINOIS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "CERINICH",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "MEDICAL BILLING",
"authorized_official_telephone_number": "312-568-7051",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.