National Provider Identifier Database

KIDS ABOVE ALL ILLINOIS
Mental Health (Including Community Mental Health Center)


Contact Information

KIDS ABOVE ALL ILLINOIS
8765 W. HIGGINS
SUITE 450
CHICAGO, IL60631
Phone: 773-693-0300
Fax: 773-693-0322
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for KIDS ABOVE ALL ILLINOIS

NPI Number 1083723027
Legal business name
LBN
KIDS ABOVE ALL ILLINOIS
Authorized official JERI LAUREANO - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 04/19/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: 012033-10
  • IL License #: 012033-10
  • IL Medicaid: 2B05CHR013

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.

Reviews for KIDS ABOVE ALL ILLINOIS

There are currently no reviews for KIDS ABOVE ALL ILLINOIS


NPIdb - Home
v2.201