Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Midway Youth Center

Organization Clinical Social Worker · NPI 1497401855

Chicago Midway Youth Center provides Clinical Social Worker services in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4051 W 63rd St
Chicago, IL 60629-4638
Phone: (773) 742-5728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1497401855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Mosqueda — Behavioral Health Therapist · (773) 742-5728
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address725 9th Ave, La Grange, IL 60525-6728

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