OrganizationActive
Alternative Schools Network
NPI 1063179059 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1063179059
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Noura Ebrahim, Clinical Director(733) 724-0665
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
1807 W Sunnyside Ave
Chicago, IL 60640-5898
Phone: (773) 728-4030
Approximate (ZIP-level) locationGet directions
Mailing address
1807 W Sunnyside Ave
Chicago, IL 60640-5898
Registry dates
- Enumerated
- 2021-11-24
- Last updated
- 2021-11-24
- Certified
- 2021-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.