OrganizationActive
Autumn Healthcare of Illinois
NPI 1205317377 · Adult Mental Health Clinic/Center · Evergreen Pk, IL
Provider details
- NPI number
- 1205317377
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Brown, Office Manager(773) 852-7454
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
9449 S Kedzie Ave
Suite 142
Evergreen Pk, IL 60805-2325
Phone: (773) 420-3481
Approximate (ZIP-level) locationGet directions
Mailing address
9449 S Kedzie Ave
Evergreen Pk, IL 60805-2325
Registry dates
- Enumerated
- 2018-08-27
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.