| Northeast Dupage Family And Youth Services | |
|
255 E Lake St Ste 300 Bloomingdale IL 60108-1287 | |
| (630) 693-7934 | |
| Not Available |
| Full Name | Northeast Dupage Family And Youth Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 255 E Lake St Ste 300, Bloomingdale, Illinois |
| Authorized Official Name and Position | Katalyna Thomas (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 6306937934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dupage Family And Youth Services 777 W Army Trail Blvd Fl 2 Addison IL 60101-3163 Ph: (630) 693-7934 | Northeast Dupage Family And Youth Services 255 E Lake St Ste 300 Bloomingdale IL 60108-1287 Ph: (630) 693-7934 |
| NPI Number | 1437973203 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437973203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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