Provider Demographics
NPI:1912707969
Name:ENVISION UNLIMITED
Entity type:Organization
Organization Name:ENVISION UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RCM- MH DEPT.
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-506-3014
Mailing Address - Street 1:8 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-3357
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1306 S 6TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-2479
Practice Address - Country:US
Practice Address - Phone:217-970-4026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENVISION UNLIMITED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)