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Contact Information

PHOENIX FAMILY CENTER, LLC
474 SUMMIT ST
ELGIN, IL60120
 Phone: 847-224-1256
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for PHOENIX FAMILY CENTER, LLC

NPI Number 1467872820
LBN Legal business name PHOENIX FAMILY CENTER, LLC
Authorized official MICHELLE POTTER - (C0-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2014
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL License # 00
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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