Organization
KIDS ABOVE ALL ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERI LYNN LAUREANO COO, LCSW (CHIEF OPERATING OFFICER)
(847) 284-0430
Entity
Organization
Contact information
Practice address
2808 W CHICAGO AVE, CHICAGO, IL 60622-7833
(773) 867-7319
(773) 626-3495
Mailing address
8765 W HIGGINS RD, STE# 450, CHICAGO, IL 60631-4101
(773) 693-0300
(773) 693-0322
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
012033-11
IL
Other
Enumeration date
04/16/2010
Last updated
04/19/2021
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