Survivors Circle
NPI 1437916962 · State or Local Public Health Clinic/Center · Waukegan, IL
Provider details
- NPI number
- 1437916962
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Marshall, Ceo(708) 548-9209
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Pastoral Counselor101YP1600X
Behavioral Health & Social Service Providers
- Rehabilitation Psychologist103TR0400X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Diabetes Educator Registered Nurse163WD0400X
Nursing Service Providers
- Public Health or Welfare Agency251K00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Other name
- Phylla House Clinic
- Other name
- Phylla House Clinic
Additional practice locations (1)
- 150 S. Genesee St.Waukegan, IL 60085Phone: (708) 548-9209
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.