Basic Information
| Provider Information | |||||||||
| NPI: | 1225414790 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METROPOLITAN FAMILY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 N DEARBORN ST | ||||||||
| Address2: | 10TH FLOOR | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606024331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129862248 | ||||||||
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| Practice Location | |||||||||
| Address1: | 350 S SCHMALE RD | ||||||||
| Address2: | #50 | ||||||||
| City: | CAROL STREAM | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601882794 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6308924355 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2015 | ||||||||
| LastUpdateDate: | 08/25/2015 | ||||||||
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| AuthorizedOfficialLastName: | HALL | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | ALLEN | ||||||||
| AuthorizedOfficialTitleorPosition: | DIR OF AUDITING AND COMPLIANCE | ||||||||
| AuthorizedOfficialTelephone: | 3129864349 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.