Organization
KIDS ABOVE ALL ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERI LAUREANO LCSW (COO)
(773) 239-8940
Entity
Organization
Contact information
Practice address
3753 S COTTAGE GROVE AVE, 2ND FLOOR, CHICAGO, IL 60653-1407
(773) 693-0300
(773) 693-0322
Mailing address
8765 W HIGGINS RD, STE # 450, CHICAGO, IL 60631-4101
(773) 693-0300
(773) 693-0322
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
IL
Other
Enumeration date
03/31/2010
Last updated
04/19/2021
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