OrganizationActive
Chicago Mental and Life Wellness Institute
NPI 1093423790 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1093423790
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tanisha Hines, Administrator(773) 569-0791
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8547 S Stony Island Ave
Chicago, IL 60617-2249
Phone: (773) 569-0791
Approximate (ZIP-level) locationGet directions
Mailing address
3817 W 85th Pl
Chicago, IL 60652-3709
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2023-05-12
- Certified
- 2023-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.