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FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO NPI 1265705990


NPI Information

NPI: 1265705990
Provider Name: FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
320 LAKE ST
OAK PARK, IL
ZIP 60302
Phone: (708) 848-0528
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FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO is a community behavioral health in Oak Park, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO NPI is 1265705990. The provider is registered as an organization entity type.

The provider's business location address is:

320 LAKE ST
OAK PARK, IL
ZIP 60302-612
Phone: (708) 848-0528
Fax: (708) 848-5855

The provider's authorized official is Lorena Navarrete .
The authorized official title is Office Manager and has the following contact phone number (708) 656-6430.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 12/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableILLINOISNo
2251S00000XCommunity/Behavioral HealthILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11617631OTHERILLINOISBLUE CROSS BLUE SHIELD OF IL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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