# FAMILY SERVICE CENTER OF WILMETTE GLENVIEW NORTHBROOK KENILWORTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Service Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750396289
- **Authorized official:** RACHEL GERMAN (OFFICE MANAGER)
- **Authorized official phone:** (847) 251-7350

## Contact information

- **Practice address:** 191 WAUKEGAN RD STE 206, NORTHFIELD, IL 60093-2743
- **Practice address phone:** (847) 251-7350
- **Practice address fax:** (847) 853-2600
- **Mailing address:** 191 WAUKEGAN RD STE 206, NORTHFIELD, IL 60093-2743
- **Mailing address phone:** (847) 251-7350
- **Mailing address fax:** (847) 853-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | IL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | IN | — |
| 1041C0700X | Clinical Social Worker | — | IL | — |
| 106H00000X | Marriage & Family Therapist | — | IL | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 10/05/2023