Organization
LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA CHIARIELLO SANTORO MSW, LCSW (CEO)
(847) 451-0330
Entity
Organization
Contact information
Practice address
10001 GRAND AVENUE, FRANKLIN PARK, IL 60131
(847) 451-0330
Mailing address
10001 GRAND AVENUE, FRANKLIN PARK, IL 60131
(847) 451-0330
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04089
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618935
BLUE CROSS/BLUE SHIELD ID
IL
01
—
984620
MEDICARE, ID
IL
Enumeration date
10/10/2006
Last updated
02/13/2025
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