Organization
LAYNIE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMMER MATHESON (CHIEF OPERATING OFFICER)
(312) 929-6860
Entity
Organization
Contact information
Practice address
4749 LINCOLN MALL DR, SUITE 202, MATTESON, IL 60443-2348
(312) 929-6860
(219) 558-0271
Mailing address
4749 LINCOLN MALL DR, SUITE 202, MATTESON, IL 60443-2348
(312) 929-6860
(219) 558-0271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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