NPIMap

Organization Active NPI

Youth Outreach Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1922411008
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-0534-0005-A Issued in IL
Legal business name
YOUTH OUTREACH SERVICES
Practice address
5910 W Division St
Chicago, IL 60651-1031
Phone
(773) 777-7112
NPI assigned
Jun 6, 2014
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-0534-0005-A IL Primary

Addresses

Primary practice location

5910 W Division St
Chicago, IL 60651-1031

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1245560788MedicaidIL

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.

Locations

5910 W Division St
Chicago, IL 60651
Phone (773) 777-7125

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1922411008",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511031",
            "telephone_number": "773-777-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "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-0534-0005-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245560788",
            "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 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.