| Kenneth Young Center | |
|
2418 E Hintz Rd Arlington Heights IL 60004-2268 | |
| (847) 524-8800 | |
| (847) 524-8824 |
| Full Name | Kenneth Young Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2418 E Hintz Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Susan Cowen (CHIEF EXECUTIVE OFFICIER) |
| Authorized Official Contact | 8475248800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Young Center 1001 Rohlwing Rd Elk Grove Village IL 60007-3217 Ph: (847) 524-8800 | Kenneth Young Center 2418 E Hintz Rd Arlington Heights IL 60004-2268 Ph: (847) 524-8800 |
| NPI Number | 1902358930 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902358930 | NPI | - | NPPES |
| 000004086 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
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Amy J. Wilder, Lcsw, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2025 S Arlington Heights Rd, Arlington Heights, IL 60005 Phone: 847-545-0400 Fax: 847-545-0405 | |
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