Organization
FAMILY SERVICE CENTER OF WILMETTE GLENVIEW NORTHBROOK KENILWORTH
Active
Other names
Family Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GERMAN (OFFICE MANAGER)
(847) 251-7350
Entity
Organization
Contact information
Practice address
191 WAUKEGAN RD STE 206, NORTHFIELD, IL 60093-2743
(847) 251-7350
(847) 853-2600
Mailing address
191 WAUKEGAN RD STE 206, NORTHFIELD, IL 60093-2743
(847) 251-7350
(847) 853-2600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IL
103TC2200X
Clinical Child & Adolescent Psychologist
—
IN
1041C0700X
Clinical Social Worker
—
IL
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605635
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/31/2006
Last updated
10/05/2023
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