Organization
LAWRENCE HALL YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NUFER (CHIEF FINANCIAL OFFICER)
(773) 728-2807
Entity
Organization
Contact information
Practice address
8117 S ESSEX AVE, CHICAGO, IL 60617-1225
(773) 728-2807
Mailing address
2737 W PETERSON AVE, CHICAGO, IL 60659-3927
(773) 728-2807
(773) 728-0751
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
12057809
IL
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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