Organization
LE PENSEUR YOUTH & FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD SUMMERRISE (PRESIDENT/CEO)
(773) 375-8637
Entity
Organization
Contact information
Practice address
1464 W 115TH ST, CHICAGO, IL 60643-4465
(773) 778-4980
(773) 778-4988
Mailing address
8550 S MANISTEE AVE, CHICAGO, IL 60617-3152
(773) 375-8637
(773) 375-8653
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
A-8251-0003-A
IL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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