MR. MARIO JIMMY SALEM
NPI 1831059070
Clinical Nurse Specialist - Psychiatric/Mental Health in Chicago, IL
Active since November 12, 2025
About Mr. Mario Jimmy Salem NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARIO JIMMY SALEM (NPI 1831059070) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (041454641) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1831059070
Entity TypeIndividualMale
Primary Taxonomy364SP0808X
Provider Legal NameMR. MARIO JIMMY SALEM
Location Address1122 W CATALPA AVE APT 911Chicago, IL 60640-7091
Mailing Address1122 W Catalpa Ave Apt 911Chicago, IL 60640-7091
Phone(248) 770-2466
Sole ProprietorNo
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1831059070 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in IL · 041454641
1122 W CATALPA AVE APT 911, Chicago, IL 60640
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831059070, enumerated as an "individual" on November 12, 2025.
The provider is located at 1122 W CATALPA AVE APT 911 CHICAGO, IL 60640 and the phone number is (248) 770-2466.
Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.
