The Diversity Of Youth Corp

Specialty details in registry · Chicago, IL

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At a glance

966 E 93Rd St, Chicago, IL 60619-7814

NPPES record updated Feb 9, 2026. Public records can lag behind changes at a practice.

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Practice location

966 E 93Rd St
Chicago, IL 60619-7814

Additional reported practice locations

68 N Joliet St
Joliet, IL 604324110
Phone: 5635640843

Professional details: NPI, taxonomy & registry record

NPI1588520431

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103K00000X
Enumeration date: Jan 5, 2026
Record updated: Feb 9, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

Specialty details in registry

251S00000X

Specialty details in registry

261QR0405X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

966 E 93Rd St
Chicago, IL 60619-7814

Phone: (563) 564-0843

Mailing address

14750 KEYSTONE AVE

MIDLOTHIAN, IL 604453332

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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