Organization Active NPI

Community Links of Chicago Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1407244874
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
150.014137 Issued in IL
Legal business name
COMMUNITY LINKS OF CHICAGO INC
Practice address
4037 W Gladys Ave
Chicago, IL 60624-2708
Phone
(773) 425-1760
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Ms. Terri Davis, LSW
Title
Ceo
Phone
(773) 425-1760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 150.014137 IL Primary

Addresses

Primary practice location

4037 W Gladys Ave
Chicago, IL 60624-2708

Mailing address

4037 W Gladys Ave
Chicago, IL 60624-2708
Phone (773) 425-1760

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1407244874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 W GLADYS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242708",
            "telephone_number": "773-425-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 W GLADYS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242708",
            "telephone_number": "773-425-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LINKS OF CHICAGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-425-1760",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "150.014137",
            "primary": true
        }
    ],
    "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 7, 2015; 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.