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LDS FAMILY SERVICES NPI 1073685715


NPI Information

NPI: 1073685715
Provider Name: LDS FAMILY SERVICES

Doing Business As: LDS FAMILY SERVICES IL CHICAGO

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1320 RIDGELAND AVE
SUITE B
NAPERVILLE, IL
ZIP 60563
Phone: (630) 942-8803
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LDS FAMILY SERVICES is a mental health (including community mental health center) clinic center in Naperville, IL. LDS FAMILY SERVICES NPI is 1073685715. The provider is registered as an organization entity type.
The provider Is Doing Business As Lds Family Services Il Chicago.

The provider's business location address is:

1320 RIDGELAND AVE
SUITE B
NAPERVILLE, IL
ZIP 60563-546
Phone: (630) 942-8803
Fax: (630) 942-8845

The provider's authorized official is Michael P Oliver .
The authorized official title is Agency Director and has the following contact phone number (630) 942-8803.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)37747403ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12232813OTHERBCBS
2870489316OTHERFEDERAL TAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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