| Omni Youth Services | |
|
1111 W Lake Cook Rd Buffalo Grove IL 60089-1926 | |
| (847) 353-1500 | |
| Not Available |
| Full Name | Omni Youth Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1111 W Lake Cook Rd, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Doryce Mccarthy (CFO) |
| Authorized Official Contact | 8473531758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Youth Services 1111 W Lake Cook Rd Buffalo Grove IL 60089-1926 Ph: (847) 353-1500 | Omni Youth Services 1111 W Lake Cook Rd Buffalo Grove IL 60089-1926 Ph: (847) 353-1500 |
| NPI Number | 1194896944 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194896944 | NPI | - | NPPES |
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