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

King Community Mental Health Center Corp

Organization Neurology Physician · NPI 1003056557

King Community Mental Health Center Corp is a Neurology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4455 S King Dr Ste 101
Chicago, IL 60653-3310
Phone: (773) 536-2700
Fax: (773) 751-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036089152 (IL)

Record details

NPI number1003056557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roueen Rafeyan — Owner · (773) 536-2700
NPI enumeratedFebruary 24, 2009
Last updated in NPPESJune 25, 2009
Mailing address4455 S King Drive, Suite 101, Chicago, IL 60653-3310

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