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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 Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for KIDS ABOVE ALL ILLINOIS

NPI Number 1083723027
LBN Legal business name KIDS ABOVE ALL ILLINOIS
Authorized official JERI LAUREANO - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 04/19/2021 - About 5 years ago
Identifiers
License # 012033-10
IL License # 012033-10
IL Medicaid 2B05CHR013
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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