Organization Active NPI

Loudek Community Services, Inc.

Doing business as n/a

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1760806350
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2278614 Issued in IL
Legal business name
LOUDEK COMMUNITY SERVICES, INC.
Doing business as
n/a
Practice address
10540 S Western Ave
Ste # 402
Chicago, IL 60643-2536
Phone
(773) 253-7052
Fax
(773) 253-7051
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Mr. Emmitt J Marshall, JURIST DOTORATE
Title
Chairperson
Phone
(773) 253-7052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2278614 IL Primary

Addresses

Primary practice location

10540 S Western Ave
Ste # 402
Chicago, IL 60643-2536

Mailing address

10540 S Western Ave Ste 402
Chicago, IL 60643-2529
Phone (773) 253-7052

Other identifiers 1

IdentifierTypeStateIssuer
819206MedicaidIL

Other names 1

  • n/a Doing business as

National Provider Directory

National Provider Directory

Locations

10540 S Western Ave
Ste 402
Chicago, IL 60643
Phone (773) 253-7052

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1760806350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432529",
            "telephone_number": "773-253-7052",
            "fax_number": "773-253-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE",
            "address_2": "STE # 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432536",
            "telephone_number": "773-253-7052",
            "fax_number": "773-253-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDEK COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "EMMITT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "773-253-7052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JURIST DOTORATE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "2278614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 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.