Organization Active NPI

Lester and Rosalie Anixter Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1710673173
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LESTER AND ROSALIE ANIXTER CENTER
Practice address
1340 S Damen Ave Ste
Chicago, IL 60608-1169
Phone
(773) 973-7900
NPI assigned
Apr 17, 2023
Organization subpart
Yes
Parent organization
LESTER AND ROSALIE ANIXTER CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Heidi Olkowski
Title
Billing Manager
Phone
(773) 697-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1340 S Damen Ave Ste
Chicago, IL 60608-1169

Mailing address

1945 W Wilson Ave Ste 3000
Chicago, IL 60640-5256

National Provider Directory

National Provider Directory
Tax ID family
Lester and Rosalie Anixter Center26 organizations share this tax ID, including this one
Part of
Lester and Rosalie Anixter Center

Other organizations with this tax ID 25

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

View all 25

Locations

1945 W Wilson Ave
Ste 3000
Chicago, IL 60640
Phone (773) 761-1501

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1710673173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 3000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE STE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081169",
            "telephone_number": "773-973-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER AND ROSALIE ANIXTER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESTER AND ROSALIE ANIXTER CENTER",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "OLKOWSKI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "773-697-6529"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Apr 17, 2023; 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.