| Community Youth Network, Inc | |
|
18640 W Il Route 120 Grayslake IL 60030 | |
| (847) 548-6000 | |
| (847) 548-6040 |
| Full Name | Community Youth Network, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18640 W Il Route 120, Grayslake, Illinois |
| Authorized Official Name and Position | Sarah Wardlow (BILLING/CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8475486000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Youth Network, Inc 18640 W Il Route 120 Grayslake IL 60030 Ph: (847) 548-6000 | Community Youth Network, Inc 18640 W Il Route 120 Grayslake IL 60030 Ph: (847) 548-6000 |
| NPI Number | 1518098771 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518098771 | NPI | - | NPPES |
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