Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Mental and Life Wellness Institute

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1093423790

Chicago Mental and Life Wellness Institute is an Adolescent and Children Mental Health Clinic/Center in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

8547 S Stony Island Ave
Chicago, IL 60617-2249
Phone: (773) 569-0791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1093423790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanisha Hines — Administrator · (773) 569-0791
NPI enumeratedNovember 10, 2022
Last updated in NPPESMay 12, 2023
Certification dateMarch 23, 2023
Mailing address3817 W 85th Pl, Chicago, IL 60652-3709

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