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NPI 1720581101 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1720581101
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antuan Wilbon, Ceo/Owner(312) 474-6189
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
10 S. Riverside Plaza
Suite 875
Chicago, IL 60606
Phone: (312) 474-6189
Fax: (773) 260-1479
Approximate (ZIP-level) locationGet directions
Mailing address
10 S. Riverside Plaza
Chicago, IL 60606
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2018-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.