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PROVISO PUBLIC PARTNERSHIP
NPI 1063361517
Clinic/Center - Rehabilitation, Substance Use Disorder in Bellwood, IL

Active since January 27, 2026
2619 CONGRESS ST, BELLWOOD, IL 60104(708) 240-4435 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Proviso Public Partnership NPPES

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

PROVISO PUBLIC PARTNERSHIP (NPI 1063361517) is a healthcare organization registered as a rehabilitation, substance use disorder in Bellwood, Illinois and active in the NPI registry since January 2026. The organization lists Katherine Williams, Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1063361517
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePROVISO PUBLIC PARTNERSHIP
Location Address2619 CONGRESS STBellwood, IL 60104-2405
Mailing Address4565 Harrison St Fl 3Hillside, IL 60162-1617
Phone(708) 240-4435
Organization SubpartNo
Authorized OfficialKatherine WilliamsFinancial Officer · (708) 234-8661
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1063361517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
2619 CONGRESS ST, Bellwood, IL 60104
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETICIA AVILA QMHP
Counselor
2619 CONGRESS ST
BELLWOOD, IL 60104
Cook County (708) 234-8668
ALEXIA MONTINO
Social Worker
2619 CONGRESS ST
BELLWOOD, IL 60104
Cook County (708) 240-4435
MARBELLA LOPEZ
Social Worker
2619 CONGRESS ST
BELLWOOD, IL 60104
Cook County (708) 234-8660
NORA MYERS CRSS
Peer Specialist
2619 CONGRESS ST
BELLWOOD, IL 60104
Cook County (708) 240-4435
LESLIE VIDAURRE SCHNEEBERGER
Counselor (Mental Health)
2619 CONGRESS ST
BELLWOOD, IL 60104
Cook County (464) 240-4424

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 Proviso Public Partnership's NPI number?

The NPI number for Proviso Public Partnership is 1063361517. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Proviso Public Partnership located?

Proviso Public Partnership is located at 2619 Congress St, Bellwood, IL 60104. The listed phone number is (708) 240-4435.

What is Proviso Public Partnership's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Proviso Public Partnership was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.