Organization
NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Active
Organization
NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HARTNETT (EXECUTIVE DIRECTOR)
(630) 693-7934
Entity
Organization
Contact information
Practice address
255 E LAKE ST STE 300, BLOOMINGDALE, IL 60108-1287
(630) 693-7934
Mailing address
777 W ARMY TRAIL BLVD FL 2, ADDISON, IL 60101-3163
(630) 693-7934
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/08/2024
Last updated
03/05/2025
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