Organization Active NPI

Comprehensive Services of Illinois Incorporated

  • Community/Behavioral Health Agency
  • Olympia Fields, IL
National Provider Identifier
1629345285
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPREHENSIVE SERVICES OF ILLINOIS INCORPORATED
Practice address
2605 Lincoln Hwy
114
Olympia Fields, IL 60461-1846
Phone
(708) 503-1274
Fax
(708) 503-1000
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Ms. Mia F Collins, MS, MSW, LCSW, CADC
Title
President/Chief Executive Officer
Phone
(708) 289-2659

Specialties & licenses 1

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

Addresses

Primary practice location

2605 Lincoln Hwy
114
Olympia Fields, IL 60461-1846

Mailing address

2605 Lincoln Hwy
114
Olympia Fields, IL 60461-1846
Phone (708) 503-1274

National Provider Directory

National Provider Directory

Locations

2605 Lincoln Hwy
#114
Olympia Fields, IL 60461
Phone (708) 503-1274

2605 Lincoln Hwy
Ste 114
Olympia Fields, IL 60461
Phone (708) 503-1000

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1629345285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 LINCOLN HWY",
            "address_2": "114",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611846",
            "telephone_number": "708-503-1274",
            "fax_number": "708-503-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 LINCOLN HWY",
            "address_2": "114",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611846",
            "telephone_number": "708-503-1274",
            "fax_number": "708-503-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SERVICES OF ILLINOIS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-289-2659",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, MSW, LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.