CHICAGO MENTAL AND LIFEWELLNESS INSTITUTE
NPI 1013507433
Clinic/Center - Adolescent and Children Mental Health in Chicago, IL

Q: What is Chicago Mental And Lifewellness Institute's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since January 20, 2021

4645 S KING DR, CHICAGO, IL 60653(773) 439-9748 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2021, Jan 20, 2021 (2 updates tracked since 2021).

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About Chicago Mental And Lifewellness Institute NPPES

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

CHICAGO MENTAL AND LIFEWELLNESS INSTITUTE (NPI 1013507433) is a healthcare organization registered as an adolescent and children mental health in Chicago, Illinois and active in the NPI registry since January 2021. The organization lists Jimalita Tillman, Manager, as its authorized official.

NPPES Registry Identity

NPI1013507433

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameCHICAGO MENTAL AND LIFEWELLNESS INSTITUTE

Location Address4645 S KING DRChicago, IL 60653-4148

Mailing Address4645 S King DrChicago, IL 60653-4148 · (773) 439-9748

Phone(773) 439-9748

Organization SubpartNo

Authorized OfficialJimalita TillmanManager · (773) 439-9748

Enumeration DateJanuary 20, 2021

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1013507433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

4645 S KING DR, Chicago, IL 60653

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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 Chicago Mental And Lifewellness Institute's NPI number?

The NPI number for Chicago Mental And Lifewellness Institute is 1013507433. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Chicago Mental And Lifewellness Institute located?

Chicago Mental And Lifewellness Institute is located at 4645 S King Dr, Chicago, IL 60653. The listed phone number is (773) 439-9748.

What is Chicago Mental And Lifewellness Institute's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Chicago Mental And Lifewellness Institute was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.