Organization
COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE FARINA WHITE (PRESIDENT AND CEO)
(708) 354-4547
Entity
Organization
Contact information
Practice address
9021 OGDEN AVENUE, BROOKFIELD, IL 60513
(708) 354-4547
(708) 354-7412
Mailing address
9021 OGDEN AVE, BROOKFIELD, IL 60513
(708) 354-4547
(708) 354-7412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150010241
IL
104100000X
Social Worker
Primary
178005304
IL
251B00000X
Case Management Agency
—
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
199400214C
IL
Other
Enumeration date
10/12/2006
Last updated
11/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us