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KENNETH YOUNG CENTER NPI 1902358930


NPI Information

NPI: 1902358930
Provider Name: KENNETH YOUNG CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2418 E HINTZ RD
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 524-8800
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KENNETH YOUNG CENTER is a mental health (including community mental health center) clinic center in Arlington Heights, IL. KENNETH YOUNG CENTER NPI is 1902358930. The provider is registered as an organization entity type.

The provider's business location address is:

2418 E HINTZ RD
ARLINGTON HEIGHTS, IL
ZIP 60004-268
Phone: (847) 524-8800
Fax: (847) 524-8824

The provider's authorized official is Susan Cowen .
The authorized official title is Chief Executive Officier and has the following contact phone number (847) 524-8800.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 12/1/2016.


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)ILLINOISYes

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
1000004086MEDICAIDILLINOIS
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: 11/14/2023

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.