| Metropolitan Family Services | |
|
11560 S Kedzie Ave # 200 Merrionette Park IL 60803-4517 | |
| (708) 974-5800 | |
| Not Available |
| Full Name | Metropolitan Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 11560 S Kedzie Ave # 200, Merrionette Park, Illinois |
| Authorized Official Name and Position | Theresa C Nihill (COO) |
| Authorized Official Contact | 3129864040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Family Services 101 N Wacker Dr Ste 1700 Chicago IL 60606-7384 Ph: (312) 986-4000 | Metropolitan Family Services 11560 S Kedzie Ave # 200 Merrionette Park IL 60803-4517 Ph: (708) 974-5800 |
| NPI Number | 1629283411 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 5496715898 |
|---|---|
| Medicare Enrollment ID | O20041011000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629283411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
| Provider Name | Benita V Lackajs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053406124 PECOS PAC ID: 6901869684 Enrollment ID: I20041104001000 |
| Provider Name | Shaukat Jamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306830583 PECOS PAC ID: 3274583240 Enrollment ID: I20050127000239 |
| Provider Name | Morris A Blount |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003912601 PECOS PAC ID: 4284521352 Enrollment ID: I20080611000054 |
| Provider Name | Franchot B Givens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154417632 PECOS PAC ID: 2163567298 Enrollment ID: I20100301000716 |
| Provider Name | Nashwa M Hasabou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639139058 PECOS PAC ID: 2365459260 Enrollment ID: I20121108000379 |
| Provider Name | Haley Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699029728 PECOS PAC ID: 4183879836 Enrollment ID: I20130301000191 |
| Provider Name | Susan E Zeitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174861736 PECOS PAC ID: 7113163080 Enrollment ID: I20130419000153 |
| Provider Name | Shanta Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972598233 PECOS PAC ID: 6406099159 Enrollment ID: I20130827000841 |
| Provider Name | Dominika Sekulska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770866964 PECOS PAC ID: 4385874148 Enrollment ID: I20140224001351 |
| Provider Name | Silvia Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053724161 PECOS PAC ID: 3678886926 Enrollment ID: I20150716000775 |
| Provider Name | Charlotte Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538540141 PECOS PAC ID: 9537472758 Enrollment ID: I20150717000075 |
| Provider Name | Imran M Shakir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194954826 PECOS PAC ID: 9234422023 Enrollment ID: I20160802000338 |
| Provider Name | Kelly A Gaffney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831554427 PECOS PAC ID: 2961783378 Enrollment ID: I20161223000303 |
| Provider Name | Anupama N Wadhwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942461231 PECOS PAC ID: 5395022511 Enrollment ID: I20170425003156 |
| Provider Name | Phillip N Garber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164897393 PECOS PAC ID: 3779881313 Enrollment ID: I20171024000386 |
| Provider Name | Liliana Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608510 PECOS PAC ID: 5991050494 Enrollment ID: I20180625003510 |
| Provider Name | Jennifer S Altman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861903346 PECOS PAC ID: 0244587632 Enrollment ID: I20180717000231 |
| Provider Name | Sarah R Florence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225359870 PECOS PAC ID: 0547503476 Enrollment ID: I20190516002496 |
| Provider Name | Jamika Walton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568900835 PECOS PAC ID: 9032443593 Enrollment ID: I20190703000603 |
| Provider Name | Bianca Jasmin Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700444320 PECOS PAC ID: 5496082919 Enrollment ID: I20190807000026 |
| Provider Name | Katelynn Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598214082 PECOS PAC ID: 5799199949 Enrollment ID: I20210128002450 |
| Provider Name | Thomas Chester Zimm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386979102 PECOS PAC ID: 4082018957 Enrollment ID: I20210814000429 |
| Provider Name | Nicola C Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477141604 PECOS PAC ID: 5597160416 Enrollment ID: I20210816002339 |
| Provider Name | Philip Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477941516 PECOS PAC ID: 7214332188 Enrollment ID: I20210817000146 |
| Provider Name | Jennifer Robin Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730390089 PECOS PAC ID: 4082701735 Enrollment ID: I20220726001744 |
| Provider Name | Dillon Scott Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972140648 PECOS PAC ID: 1759757636 Enrollment ID: I20221018001067 |
| Provider Name | Nicholas Austin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831455211 PECOS PAC ID: 6800199183 Enrollment ID: I20240105002957 |
| Provider Name | Othman M Mohammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912138660 PECOS PAC ID: 8729301825 Enrollment ID: I20240212000057 |
| Provider Name | Rachel S Birkenfeld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134306467 PECOS PAC ID: 4385088327 Enrollment ID: I20240219001583 |
| Provider Name | Ukela L Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750780474 PECOS PAC ID: 7517301161 Enrollment ID: I20240222000703 |
| Provider Name | Amy Schroeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316560295 PECOS PAC ID: 8628412285 Enrollment ID: I20240222001001 |
| Provider Name | Gina M Ouimet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467870519 PECOS PAC ID: 4789020827 Enrollment ID: I20240311003418 |