| Kids Above All Illinois | |
|
4603 Main St Lisle IL 60532-1219 | |
| (773) 693-0300 | |
| Not Available |
| Full Name | Kids Above All Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4603 Main St, Lisle, Illinois |
| Authorized Official Name and Position | Jeri Lynn Laureano (COO) |
| Authorized Official Contact | 8472840430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Above All Illinois 8765 W Higgins Rd Suite 450 Chicago IL 60631-4101 Ph: () - | Kids Above All Illinois 4603 Main St Lisle IL 60532-1219 Ph: (773) 693-0300 |
| NPI Number | 1811247604 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811247604 | NPI | - | NPPES |
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