1. Home
  2. Directory
  3. Illinois
  4. Evergreen Pk
  5. Clinic Center
  6. NPI Profile

AUTUMN HEALTHCARE OF ILLINOIS
NPI 1205317377
Clinic/Center - Adult Mental Health in Evergreen Pk, IL

Active since August 27, 2018
9449 S KEDZIE AVE, SUITE 142, EVERGREEN PK, IL 60805(773) 420-3481 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2018, Aug 27, 2018 (2 updates tracked since 2018).

About Autumn Healthcare Of Illinois NPPES

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

AUTUMN HEALTHCARE OF ILLINOIS (NPI 1205317377) is a healthcare organization registered as an adult mental health in Evergreen Pk, Illinois and active in the NPI registry since August 2018. The organization lists James Brown, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205317377
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameAUTUMN HEALTHCARE OF ILLINOIS
Location Address9449 S KEDZIE AVE, SUITE 142Evergreen Pk, IL 60805-2325
Mailing Address9449 S Kedzie AveEvergreen Pk, IL 60805-2325 · (773) 420-3481
Phone(773) 420-3481
Organization SubpartNo
Authorized OfficialJames BrownOffice Manager · (773) 852-7454
Enumeration DateAugust 27, 2018
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1205317377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
9449 S KEDZIE AVE, Evergreen Pk, IL 60805
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

KRYSTAL MONIQUE PRESTON PHARMD
Pharmacist
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (833) 367-6699
CELESTIAL HOME MEDICAL SUPPLY AND EQUIPMENT CORPORATION
Durable Medical Equipment & Medical Supplies
9449 S KEDZIE AVE, SUITE 213
EVERGREEN PARK, IL 60805
Cook County (773) 531-7392
MS. LISA LINDSEY-ROBINSON LCSW
Social Worker (Clinical)
9449 S KEDZIE AVE, STE 142
EVERGREEN PARK, IL 60805
Cook County (773) 420-3481
PATRICIA A HARDMON LCSW
Social Worker (Clinical)
9449 S KEDZIE AVE, STE 142
EVERGREEN PARK, IL 60805
Cook County (773) 420-3481
AUDREY LYNN TANKSLEY MD
Internal Medicine
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (833) 367-6699
DR. MAYA IZABEL GREEN MD
Family Medicine
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (833) 367-6699
RW NURSESTAFFERS
Home Health
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (773) 386-3439
MS. TIARA DAMPER DT
Specialist
9449 S KEDZIE AVE, SUITE 212
EVERGREEN PARK, IL 60805
Cook County (773) 445-2195

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 Autumn Healthcare Of Illinois's NPI number?

The NPI number for Autumn Healthcare Of Illinois is 1205317377. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Autumn Healthcare Of Illinois located?

Autumn Healthcare Of Illinois is located at 9449 S Kedzie Ave Suite 142, Evergreen Pk, IL 60805. The listed phone number is (773) 420-3481.

What is Autumn Healthcare Of Illinois's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Autumn Healthcare Of Illinois was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.