National Provider Identifier Database

YOUTH SERVICES OF GLENVIEW NORTHBROOK
Voluntary or Charitable


Contact Information

YOUTH SERVICES OF GLENVIEW-NORTHBROOK
3080 W LAKE AVE
GLENVIEW, IL60026-1210
Phone: 847-724-2620
Fax: 847-724-3499
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for YOUTH SERVICES OF GLENVIEW-NORTHBROOK

NPI Number 1386058196
Legal business name
LBN
YOUTH SERVICES OF GLENVIEW-NORTHBROOK
Authorized official AMY O'LEARY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/19/2014
Last updated 06/19/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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