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

Chicago Midway Youth Center

Organization Clinical Social Worker · NPI 1497401855

Chicago Midway Youth Center is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4051 W 63rd St
Chicago, IL 60629-4638
Phone: (773) 742-5728
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1497401855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Mosqueda — Behavioral Health Therapist · (773) 742-5728
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address725 9th Ave, La Grange, IL 60525-6728

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