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KIDS ABOVE ALL ILLINOIS NPI 1083723027


NPI Information

NPI: 1083723027
Provider Name: KIDS ABOVE ALL ILLINOIS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8765 W. HIGGINS
SUITE 450
CHICAGO, IL
ZIP 60631
Phone: (773) 693-0300
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KIDS ABOVE ALL ILLINOIS is a mental health (including community mental health center) clinic center in Chicago, IL. KIDS ABOVE ALL ILLINOIS NPI is 1083723027. The provider is registered as an organization entity type.

The provider's business location address is:

8765 W. HIGGINS
SUITE 450
CHICAGO, IL
ZIP 60631
Phone: (773) 693-0300
Fax: (773) 693-0322

The provider's authorized official is Jeri L Laureano .
The authorized official title is Chief Operating Officer and has the following contact phone number (773) 239-8940.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/19/2021.


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)Yes
2320800000XCommunity Based Residential Treatment Facility, Mental Illness012033-10No
3320800000XCommunity Based Residential Treatment Facility, Mental Illness012033-10ILLINOISNo

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
12B05CHR013MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.