| Kenneth Young Center | |
|
936 Jefferson Sq Apt C Elk Grove Village IL 60007-4051 | |
| (847) 524-8800 | |
| Not Available |
| Full Name | Kenneth Young Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 936 Jefferson Sq Apt C, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Brenda Perez Meraz (EXECUTIVE ADMINISTRATIVE ASSISTANT) |
| 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: () - | Kenneth Young Center 936 Jefferson Sq Apt C Elk Grove Village IL 60007-4051 Ph: (847) 524-8800 |
| NPI Number | 1124801402 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124801402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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