OrganizationActive
Healthcare Alternative Systems, Inc.
NPI 1790176121 · Mental Health Clinic/Center (Including Community Mental Health Center) · Broadview, IL
Provider details
- NPI number
- 1790176121
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marco Jacome, Chief Executive Officer(773) 252-3100
- License
- 12001 (IL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 12001 (IL)
Ambulatory Health Care Facilities
Practice location
1915-17 W. Roosevelt Rd.
Broadview, IL 60155
Phone: (708) 334-7089
Fax: (708) 334-5055
Approximate (ZIP-level) locationGet directions
Mailing address
4734 W Chicago Ave
Chicago, IL 60651-3322
Registry dates
- Enumerated
- 2015-02-06
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.