OrganizationActive
Chicago Mental and Lifewellness Institute
NPI 1013507433 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1013507433
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jimalita Tillman, Manager(773) 439-9748
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
4645 S King Dr
Chicago, IL 60653-4148
Phone: (773) 439-9748
Approximate (ZIP-level) locationGet directions
Mailing address
4645 S King Dr
Chicago, IL 60653-4148
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-03-31
- Certified
- 2021-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.