NPIMap

Organization Active NPI

Youth Outreach Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1811227341
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-0534-0011-A Issued in IL
Legal business name
YOUTH OUTREACH SERVICES
Practice address
4419 W North Ave
Melrose Park, IL 60160-1021
Phone
(773) 777-7112
Fax
(708) 547-1091
NPI assigned
Jan 6, 2010
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Jamie Noto
Title
Executive Director
Phone
(773) 205-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0534-0011-A IL Primary

Addresses

Primary practice location

4419 W North Ave
Melrose Park, IL 60160-1021

Mailing address

2411 W Congress Pkwy
Chicago, IL 60612-3534
Phone (773) 777-7112

National Provider Directory

National Provider Directory
Tax ID family
Youth Outreach Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1811227341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123534",
            "telephone_number": "773-777-7112",
            "fax_number": "773-777-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601021",
            "telephone_number": "773-777-7112",
            "fax_number": "708-547-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "NOTO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-205-0474"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-0534-0011-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.