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Organization

LDS FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID S WOOD PHD (AGENCY DIRECTOR)
(630) 942-8803
Entity
Organization

Contact information

Practice address
45 S PARK BLVD, SUITE 255, GLEN ELLYN, IL 60137-6280
(630) 942-8803
Mailing address
45 S PARK BLVD, SUITE 255, GLEN ELLYN, IL 60137-6280
(630) 942-8803

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1073685715
IL

Other

Enumeration date
06/30/2008
Last updated
06/30/2008
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