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KING COMMUNITY MENTAL HEALTH CENTER CORP
NPI 1003056557
Psychiatry & Neurology - Neurology in Chicago, IL

Active since February 24, 2009
4455 S KING DRIVE, SUITE 101, CHICAGO, IL 60653(773) 536-2700(773) 751-2250 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About King Community Mental Health Center Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING COMMUNITY MENTAL HEALTH CENTER CORP (NPI 1003056557) is a healthcare organization registered as a neurology in Chicago, Illinois and active in the NPI registry since February 2009. The organization lists Roueen Rafeyan, Owner, as its authorized official.

NPPES Registry Identity

NPI1003056557
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameKING COMMUNITY MENTAL HEALTH CENTER CORP
Location Address4455 S KING DRIVE, SUITE 101Chicago, IL 60653-3310
Mailing Address4455 S King Drive, Suite 101Chicago, IL 60653-3310 · (773) 536-2700 · Fax (773) 751-2250
Phone(773) 536-2700
Fax(773) 751-2250
Organization SubpartNo
Authorized OfficialRoueen RafeyanOwner · (773) 536-2700
Enumeration DateFebruary 24, 2009
Last NPPES UpdateJune 25, 2009
✔ NPI 1003056557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036089152
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4455 S KING DRIVE, Chicago, IL 60653
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is King Community Mental Health Center Corp's NPI number?

The NPI number for King Community Mental Health Center Corp is 1003056557. It was assigned to this organization in the NPPES registry on February 24, 2009.

Where is King Community Mental Health Center Corp located?

King Community Mental Health Center Corp is located at 4455 S King Drive Suite 101, Chicago, IL 60653. The listed phone number is (773) 536-2700.

What is King Community Mental Health Center Corp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for King Community Mental Health Center Corp was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.