Organization Active NPI

Joil Center

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1881923910
Registry record updated Dec 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
178004814 Issued in IL
Legal business name
JOIL CENTER
Practice address
5140 W Melrose St
Chicago, IL 60641-4224
Phone
(773) 653-3059
Fax
(773) 526-7512
NPI assigned
Dec 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2009

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

Authorized official

Name
Ms. Lana Yael Peck, LCPC
Title
Clinical Director
Phone
(773) 653-3059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 178004814 IL Primary

Addresses

Primary practice location

5140 W Melrose St
Chicago, IL 60641-4224

Mailing address

5140 W Melrose St
Chicago, IL 60641-4224
Phone (773) 653-3059

Other identifiers 1

IdentifierTypeStateIssuer
1003996307MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261267200000",
    "number": "1881923910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 W MELROSE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414224",
            "telephone_number": "773-653-3059",
            "fax_number": "773-526-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 W MELROSE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414224",
            "telephone_number": "773-653-3059",
            "fax_number": "773-526-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOIL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-20",
        "last_updated": "2009-12-20",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "YAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-653-3059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "178004814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003996307",
            "state": "IL"
        }
    ],
    "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 Dec 20, 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.