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UNITED MENTAL HEALTH ORGANIZATION OF ILLINOIS
NPI 1639311087
Community/Behavioral Health in Hazel Crest, IL

Active since April 01, 2009
17569 KEDZIE AVE, HAZEL CREST, IL 60429(708) 922-3840(708) 922-3850 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About United Mental Health Organization Of Illinois NPPES

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

UNITED MENTAL HEALTH ORGANIZATION OF ILLINOIS (NPI 1639311087) is a healthcare organization registered as a community/behavioral health in Hazel Crest, Illinois and active in the NPI registry since April 2009. The organization lists Reuben Frederick Goodwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1639311087
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameUNITED MENTAL HEALTH ORGANIZATION OF ILLINOIS
Location Address17569 KEDZIE AVEHazel Crest, IL 60429-2007
Mailing Address3861 Marilyn DrRichton Park, IL 60471-1279 · (708) 774-5645 · Fax (708) 679-9727
Phone(708) 922-3840
Fax(708) 922-3850
Organization SubpartNo
Authorized OfficialReuben Frederick GoodwinOwner · (708) 774-5645
Enumeration DateApril 1, 2009
✔ NPI 1639311087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
17569 KEDZIE AVE, Hazel Crest, IL 60429
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Other Identifiers 1

Other=========6044301IL · Health Care & Family Services Id

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 United Mental Health Organization Of Illinois's NPI number?

The NPI number for United Mental Health Organization Of Illinois is 1639311087. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is United Mental Health Organization Of Illinois located?

United Mental Health Organization Of Illinois is located at 17569 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 922-3840.

What is United Mental Health Organization Of Illinois's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for United Mental Health Organization Of Illinois was last updated on April 1, 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.