| Omni Youth Services | |
|
1880 W Winchester Rd Ste 108 Libertyville IL 60048-5321 | |
| (224) 676-2317 | |
| (847) 353-1759 |
| Full Name | Omni Youth Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1880 W Winchester Rd Ste 108, Libertyville, Illinois |
| Authorized Official Name and Position | Doryce Mccarthy (PRESIDENT) |
| Authorized Official Contact | 8473531758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Youth Services 1111 W Lake Cook Rd Buffalo Grove IL 60089-1926 Ph: (847) 353-1758 | Omni Youth Services 1880 W Winchester Rd Ste 108 Libertyville IL 60048-5321 Ph: (224) 676-2317 |
| NPI Number | 1952082075 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952082075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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