Organization
ABRAHAM LINCOLN CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G. ROBERTS (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(773) 285-1390
Entity
Organization
Contact information
Practice address
3858 S COTTAGE GROVE AVE, CHICAGO, IL 60653-2089
(773) 285-1390
(773) 373-6627
Mailing address
3858 S COTTAGE GROVE AVE, CHICAGO, IL 60653-2089
(773) 285-1390
(773) 373-6627
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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