KENNETH YOUNG CENTER NPI 1124801402

NPI Information

  • NPI: 1124801402
  • Provider Name: KENNETH YOUNG CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 936 JEFFERSON SQ APT C
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Phone: (847) 524-8800

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NPI Details

KENNETH YOUNG CENTER is a mental health (including community mental health center) clinic center in Elk Grove Village, IL. KENNETH YOUNG CENTER NPI is 1124801402. The provider is registered as an organization entity type.

The provider's business location address is:

936 JEFFERSON SQ APT C
ELK GROVE VILLAGE, IL
ZIP 60007-051
Phone: (847) 524-8800

The provider's authorized official is Brenda Perez Meraz .
The authorized official title is Executive Administrative Assistant and has the following contact phone number (847) 524-8800.

The enumeration date for this NPI number is 8/18/2023 and was last updated on 4/10/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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