Organization Active NPI

Westcare Illinois, Inc

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1366082232
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jan 8, 2020

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)CodeLicenseStatePrimary
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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.