KENNETH YOUNG CENTER NPI 1174897292

NPI Information

  • NPI: 1174897292
  • Provider Name: KENNETH YOUNG CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 14D2177394
  • Address: 1 ILLINOIS BLVD
    SUITE 107
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Phone: (847) 524-8800

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NPI Details

KENNETH YOUNG CENTER is a mental health (including community mental health center) clinic center in Hoffman Estates, IL. KENNETH YOUNG CENTER NPI is 1174897292. The provider is registered as an organization entity type.

The provider's business location address is:

1 ILLINOIS BLVD
SUITE 107
HOFFMAN ESTATES, IL
ZIP 60169-314
Phone: (847) 524-8800
Fax: (847) 524-8824

The provider's authorized official is James Bruski .
The authorized official title is Human Resources Manager and has the following contact phone number (847) 524-8800.

The CLIA number assigned to this NPI record is 14D2177394 - other - comm mental health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 8/10/2017.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)201209ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1583690MEDICARE PINILLINOIS
2201209MEDICARE PINILLINOIS

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: 11/21/2025

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