OrganizationActive
King Community Mental Health Center Corp
NPI 1003056557 · Neurology Physician · Chicago, IL
Provider details
- NPI number
- 1003056557
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roueen Rafeyan, Owner(773) 536-2700
- License
- 036089152 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4455 S King Drive
Suite 101
Chicago, IL 60653-3310
Phone: (773) 536-2700
Fax: (773) 751-2250
Street-level locationGet directions
Mailing address
4455 S King Drive
Chicago, IL 60653-3310
Registry dates
- Enumerated
- 2009-02-24
- Last updated
- 2009-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.