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Organization

LDS FAMILY SERVICES

Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services IL Chicago
Organization subpart
Yes

Provider details

NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. MICHAEL P OLIVER LCSW (AGENCY DIRECTOR)
(630) 942-8803
Entity
Organization

Contact information

Practice address
1320 RIDGELAND AVE, SUITE B, NAPERVILLE, IL 60563-1546
(630) 942-8803
(630) 942-8845
Mailing address
1320 RIDGELAND AVE, SUITE B, NAPERVILLE, IL 60563-1546
(630) 942-8803
(630) 942-8845

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37747403
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2232813
BCBS
Enumeration date
11/15/2006
Last updated
06/16/2015
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