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Contact Information

FAMILY SERVICE & MENTAL HEALTH SERVICE OF CICERO
5341 W CERMAK RD
201
CICERO, IL60804-2817
 Phone: 708-656-6430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for FAMILY SERVICE & MENTAL HEALTH SERVICE OF CICERO

NPI Number 1801067368
LBN Legal business name FAMILY SERVICE & MENTAL HEALTH SERVICE OF CICERO
Authorized official JOHN MORGAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2008
Last updated 03/12/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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