Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

King Community Mental Health Center Corp

Organization Neurology Physician · NPI 1003056557

King Community Mental Health Center Corp provides Neurology Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4455 S King Dr Ste 101
Chicago, IL 60653-3310 Not confirmed with CMS for 17 years — call before visiting
Phone: (773) 536-2700
Fax: (773) 751-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036089152 (IL)

Record details

NPI number1003056557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roueen Rafeyan — Owner · (773) 536-2700
NPI enumeratedFebruary 24, 2009
Last updated in NPPESJune 25, 2009
Mailing address4455 S King Drive, Suite 101, Chicago, IL 60653-3310

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