Proviso-Leyden Council For Community Action Inc
Specialty details in registry · Maywood, IL
At a glance
411 Madison St, Maywood, IL 60153-2136
NPPES record updated Apr 21, 2026. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
411 Madison StMaywood, IL 60153-2136
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0850X
- Enumeration date
- Dec 11, 2024
- Record updated
- Apr 21, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QM0850X · Primary
Specialty details in registry
261QM0855X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
411 Madison StMaywood, IL 60153-2136
- Phone
- (708) 450-3500
- Fax
- (708) 236-5184
Mailing address
411 MADISON STMAYWOOD, IL 601532136
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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