ProCare Centers – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1477622298

ProCare Centers is a healthcare provider. based in Broadview, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for ProCare Centers is 1477622298

Main info

Organization
Name
ProCare Centers
NPI
1477622298
Phone
(708) 338-3806
Address
1820 S 25TH AVE
Authorized Official
MRS. KRISTIN KAMINSKI MANAGER, GENERAL ACCOUNTING
Enumeration Date
7 November 2006
Last Update Date
12 November 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ProCare Centers

  • 1820, South 25th Avenue, Broadview, Proviso Township, Cook County, Illinois, 60155, United States

    BROADVIEW, IL 601552864

    Phone: (708) 338-3806

    Fax: (708) 681-1289

    Type: Mailing

  • 1414, Main Street, Melrose Park, Proviso Township, Cook County, Illinois, 60160, United States

    MELROSE PARK, IL 601603902

    Phone: (708) 681-2324

    Fax: (708) 345-5496

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (253 days ago).

Enrollment records

2

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031212000734OClinic/Group PracticeIL2025-09-30
O20040319001574OClinic/Group PracticeIL2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 60155)

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Reviews

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Frequently asked questions

What number should I use to identify ProCare Centers for billing?
Administrative and clinical systems typically use NPI 1477622298 for ProCare Centers.
Quick check: is ProCare Centers active?
Public NPPES data shows ProCare Centers with an active NPI status right now.
What services align with ProCare Centers's listing?
ProCare Centers's public classification highlights Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What geographic area is tied to ProCare Centers?
ProCare Centers is associated with Broadview, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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