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Organization

KIDS ABOVE ALL ILLINOIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERI LYNN LAUREANO LCSW (COO)
(847) 284-0430
Entity
Organization

Contact information

Practice address
UNITED METHODIST CHURCH, 651 LILLIE STREET, ELGIN, IL 60120
(630) 883-8560
(630) 883-8641
Mailing address
8765 W HIGGINS RD STE 450, CHICAGO, IL 60631-2794
(773) 693-0300
(773) 693-0322

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/28/2018
Last updated
04/19/2021
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