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Contact Information

COMMUNITY YOUTH NETWORK, INC
18640 W IL ROUTE 120
GRAYSLAKE, IL60030
 Phone: 847-548-6000
 Fax: 847-548-6040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Community/Behavioral Health

251S00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for COMMUNITY YOUTH NETWORK INC · (Female)

NPI Number 1518098771
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 07/18/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 149001053
  • IL License # 5138-995-6
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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