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YOUTH OUTREACH SERVICES
NPI 1770704579
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since May 01, 2007
6417 W IRVING PARK RD, CHICAGO, IL 60634(773) 777-7112(773) 777-7611 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2017, Jun 28, 2016 (2 updates tracked since 2016).

About Youth Outreach Services NPPES

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

YOUTH OUTREACH SERVICES (NPI 1770704579) is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Rick Velasquez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770704579
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameYOUTH OUTREACH SERVICES
Location Address6417 W IRVING PARK RDChicago, IL 60634-2437
Mailing Address2411 W Congress PkwyChicago, IL 60612-3534 · (773) 777-7112 · Fax (773) 777-7611
Phone(773) 777-7112
Fax(773) 777-7611
Organization SubpartNo
Authorized OfficialRick VelasquezExecutive Director · (773) 777-7112
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
✔ NPI 1770704579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IL · A-0534-0007-A
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License A-0534-0007-A (IL)
6417 W IRVING PARK RD, Chicago, IL 60634
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Other Identifiers 1

Medicaid=========002IL

Other Providers at the Same Location NPPES 20

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

JESSICA MAYANS
Counselor (Professional)
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (773) 777-7112
CHRISTINA FRANCISCO MA
Counselor (Mental Health)
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (773) 777-7112
ERINN MCKUNE MSW
Counselor (Mental Health)
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (708) 606-9185
SONIA ROMO BA
Counselor (Addiction (Substance Use Disorder))
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (773) 777-7112
MAYRA SOTOMAYOR
Counselor (Addiction (Substance Use Disorder))
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (773) 777-7112
YOUTH OUTREACH SERVICES
Community/Behavioral Health
6417 W IRVING PARK RD, YOUTH OUTREACH SERVICES
CHICAGO, IL 60634
Cook County (773) 777-7112
EVELYN SILVA
Counselor (Addiction (Substance Use Disorder))
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (773) 777-7112
KATHLEEN HARKRADER
Counselor
6417 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (312) 753-9379

Frequently Asked Questions

What is YOUTH OUTREACH SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1770704579, enumerated as an "organization" on May 01, 2007.

Where is the provider located?

The provider is located at 6417 W IRVING PARK RD CHICAGO, IL 60634 and the phone number is (773) 777-7112.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

What insurance does YOUTH OUTREACH SERVICES accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.