PROVISO PUBLIC PARTNERSHIP
NPI 1801304142
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hillside, IL

Q: What is Proviso Public Partnership's NPI number?

The NPI number for Proviso Public Partnership is 1801304142. It was assigned to this organization in the NPPES registry on January 22, 2018.

Q: What is Proviso Public Partnership's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 22, 2018

4565 HARRISON ST FL 3, HILLSIDE, IL 60162(708) 240-4435(708) 449-6421 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Proviso Public Partnership NPPES

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

PROVISO PUBLIC PARTNERSHIP (NPI 1801304142) is a healthcare organization registered as a mental health (including community mental health center) in Hillside, Illinois and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Bellwood and lists Kate Minella, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1801304142

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePROVISO PUBLIC PARTNERSHIP

Location Address4565 HARRISON ST FL 3Hillside, IL 60162-1617

Mailing Address4565 Harrison St Fl 3Hillside, IL 60162-1617 · (708) 240-4435 · Fax (708) 449-6421

Phone(708) 240-4435

Fax(708) 449-6421

Organization SubpartNo

Authorized OfficialKate MinellaChief Financial Officer · (708) 240-4435

Enumeration DateJanuary 22, 2018

Last NPPES UpdateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1801304142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

4565 HARRISON ST FL 3, Hillside, IL 60162

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Secondary Practice Location 1

Location 12619 Congress StBellwood, IL 60104-2405 · Phone (708) 240-4435

Other Providers at the Same Location NPPES

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

MISS JILL MARIE DOLAN LCSW

Social Worker (Clinical)

4565 HARRISON ST FL 3
HILLSIDE, IL 60162

Cook County (708) 240-4435

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 1801304142. It was assigned to this organization in the NPPES registry on January 22, 2018.

Where is Proviso Public Partnership located?

Proviso Public Partnership is located at 4565 Harrison St Fl 3, Hillside, IL 60162. 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 Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Proviso Public Partnership was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.