Organization
KIDS ABOVE ALL ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI LYNN LAUREANO LCSW (COO)
(847) 284-0430
Entity
Organization
Contact information
Practice address
146 N SLEIGHT ST, NAPERVILLE, IL 60540-4740
(773) 693-0300
Mailing address
8765 W HIGGINS RD, SUITE 450, CHICAGO, IL 60631-4101
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
04/19/2021
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