Organization
LEYDEN FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ALEXANDER (PROGRAM SUPERVISOR)
(847) 451-5338
Entity
Organization
Contact information
Practice address
10001 W. GRAND AVENUE, FRANKLIN PARK, IL 60131
(847) 451-0330
Mailing address
10001 W. GRAND AVENUE, FRANKLIN PARK, IL 60131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043308943
—
IL
Enumeration date
10/19/2016
Last updated
10/19/2016
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