Active NPI
Comprehensive Services of Illinois Incorporated
- Community/Behavioral Health Agency
- Olympia Fields, IL
National Provider Identifier
1629345285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.