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Organization

ONE FAMILY ILLINOIS

Active
Other names
SOS Children's Villages Illinois
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA MARIN COCKERILL LCSW (DIRECTOR OF BEHAVIORAL HEALTH)
(312) 243-1901
Entity
Organization

Contact information

Practice address
1133 W 13TH ST, CHICAGO, IL 60608-1881
(312) 243-1901
(312) 243-3086
Mailing address
216 W JACKSON BLVD STE 925, CHICAGO, IL 60606-6996
(312) 372-8200
(312) 372-8202

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
198705
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
01/15/2015
Last updated
10/05/2025
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