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ERIE FAMILY HEALTH NPI 1184958811


NPI Information

NPI: 1184958811
Provider Name: ERIE FAMILY HEALTH
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1701 W SUPERIOR ST
CHICAGO, IL
ZIP 60622
Phone: (312) 666-3494
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ERIE FAMILY HEALTH is an adolescent and children mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ERIE FAMILY HEALTH NPI is 1184958811. The provider is registered as an organization entity type.

The provider's business location address is:

1701 W SUPERIOR ST
CHICAGO, IL
ZIP 60622-646
Phone: (312) 666-3494

The provider's authorized official is Lee Francis .
The authorized official title is Chief Executive Officer and has the following contact phone number (312) 666-3494.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 9/29/2009.


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
1261QM0855XClinic/CenterAdolescent and Children Mental Health180-003431ILLINOISYes

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: 4/28/2024

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