KIDS ABOVE ALL ILLINOIS NPI 1154647089

NPI Information

NPI: 1154647089
Provider Name: KIDS ABOVE ALL ILLINOIS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2808 W CHICAGO AVE
CHICAGO, IL
ZIP 60622
Phone: (773) 867-7319
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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 1154647089. The provider is registered as an organization entity type.

The provider's business location address is:

2808 W CHICAGO AVE
CHICAGO, IL
ZIP 60622-833
Phone: (773) 867-7319
Fax: (773) 626-3495

The provider's authorized official is Jeri Lynn Laureano .
The authorized official title is Chief Operating Officer and has the following contact phone number (847) 284-0430.

The enumeration date for this NPI number is 4/16/2010 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	012033-11	ILLINOIS	No

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

NPI Synchronization or Removal

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