Organization
KALEIDOSCOPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JEAN GRZELAK (EXECUTIVE DIRECTOR)
(773) 292-4076
Entity
Organization
Contact information
Practice address
1901 W CARROLL AVE STE 205, CHICAGO, IL 60612-2401
(773) 278-7200
(773) 278-5663
Mailing address
1901 W CARROLL AVE STE 205, CHICAGO, IL 60612-2401
(773) 278-7200
(773) 278-5663
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
011126-13
IL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
011126-13
IL
Other
Enumeration date
12/30/2009
Last updated
01/22/2025
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