Chicago Youth Centers

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

00418812 Issued in IL

Legal business name

CHICAGO YOUTH CENTERS

Practice address

461 E 111TH St
Chicago, IL 60628-4558

Phone

(773) 468-4660

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. J. Harry Wells

Title

President/Ceo

Phone

(312) 795-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1851530406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MICHIGAN AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035916",
            "telephone_number": "312-795-3500",
            "fax_number": "312-795-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284558",
            "telephone_number": "773-468-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO YOUTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "312-795-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "00418812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CERTIFICATION",
            "identifier": "08001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Women's Health Group at Northwestern
• Chicago Women's Health, LTD
• Chicago Women's Health, Organization, LLC
• Chicago Women's Healthcare, SC
• Chicago Womens Health Group
• Chicago Youth Service Bureau
• Chicago-Barton, LLC (Barton Senior Residences of Chicago)
• Chicagoland Ad Medical Inc
• Chicagoland Chiropractic Health Center S C
• Chicagoland Cognitive Assessment Center, LLC

• Case Management Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.