Proviso Public Partnership
Proviso Public Partnership is a Mental Health Clinic/Center (Including Community Mental Health Center) in Hillside, Illinois. Works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4565 Harrison St Fl 3Hillside, IL 60162-1617
Phone: (708) 240-4435
Fax: (708) 449-6421
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2619 Congress St, Bellwood, IL 60104-2405 — (708) 240-4435
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1801304142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kate Minella — Chief Financial Officer · (708) 240-4435 |
| NPI enumerated | January 22, 2018 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
| Mailing address | 4565 Harrison St Fl 3, Hillside, IL 60162-1617 |