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CHICAGO WELLNESS AND SUPPORT LLC
NPI 1215764873
Clinic/Center - Adolescent and Children Mental Health in Chicago, IL

Active since September 17, 2024
2833 E 79TH ST, CHICAGO, IL 60649(773) 873-7335 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2024, Sep 17, 2024 (2 updates tracked since 2024).

About Chicago Wellness And Support Llc NPPES

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

CHICAGO WELLNESS AND SUPPORT LLC (NPI 1215764873) is a healthcare organization registered as an adolescent and children mental health in Chicago, Illinois and active in the NPI registry since September 2024. The organization lists Blake Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1215764873
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHICAGO WELLNESS AND SUPPORT LLC
Location Address2833 E 79TH STChicago, IL 60649-5213
Mailing Address16211 N Scottsdale Rd Ste A6a267Scottsdale, AZ 85254-1584 · (480) 619-0949
Phone(773) 873-7335
Organization SubpartNo
Authorized OfficialBlake WalkerOwner · (480) 619-0949
Enumeration DateSeptember 17, 2024
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1215764873 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
2833 E 79TH ST, Chicago, IL 60649
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Other Providers at the Same Location NPPES

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

TOP LINE HEALTH SERVICES LLC
Clinic/Center (Adolescent and Children Mental Health)
2833 E 79TH ST
CHICAGO, IL 60649
Cook County (773) 563-5327

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 Wellness And Support LLC's NPI number?

The NPI number for Chicago Wellness And Support LLC is 1215764873. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Chicago Wellness And Support LLC located?

Chicago Wellness And Support LLC is located at 2833 E 79th St, Chicago, IL 60649. The listed phone number is (773) 873-7335.

What is Chicago Wellness And Support LLC'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 Wellness And Support LLC was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.