Portage Cragin Outpatient – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1063637684

Portage Cragin Outpatient is a healthcare provider. based in Des plaines, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for Portage Cragin Outpatient is 1063637684

Main info

Organization
Name
Portage Cragin Outpatient
NPI
1063637684
Phone
(847) 635-4600
Address
1001 E TOUHY AVE STE 50
Authorized Official
MR. MARK STUTRUD PRESIDENT
Enumeration Date
17 April 2007
Last Update Date
31 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Portage Cragin Outpatient

  • 1001 E TOUHY AVE STE 50

    DES PLAINES, IL 600185817

    Phone: (847) 635-4600

    Fax: (847) 297-3407

    Type: Mailing

  • 4840 W BYRON ST

    CHICAGO, IL 606412712

    Phone: (773) 282-7800

    Fax: (773) 282-2163

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-22

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60018)

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Reviews

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Frequently asked questions

What unique ID ties claims to Portage Cragin Outpatient?
NPI 1063637684 is assigned to Portage Cragin Outpatient under the national enumeration system.
Does this profile mean Portage Cragin Outpatient is currently active?
Yes — Portage Cragin Outpatient appears active in the national provider directory.
What field does Portage Cragin Outpatient work in?
You can think of Portage Cragin Outpatient as practicing within Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Where does public data place Portage Cragin Outpatient?
The snapshot lists Des Plaines, Illinois for Portage Cragin Outpatient; download NPPES for the complete set.
Is Portage Cragin Outpatient a real provider?
This page reflects official NPPES data for NPI 1063637684. Always confirm identity and privileges with the practice and licensing boards.

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