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Contact Information

FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO
320 LAKE ST
OAK PARK, IL60302-2612
 Phone: 708-848-0528
 Fax: 708-848-5855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

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

NPI Number 1265705990
LBN Legal business name FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO
Authorized official LORENA NAVARRETE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2012
Last updated 12/07/2017 - About 8 years ago
Identifiers
IL Other 1617631 BLUE CROSS BLUE SHIELD OF IL
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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