| One Family Illinois | |
|
17549 Village Ln Lockport IL 60441-7634 | |
| (815) 740-7280 | |
| Not Available |
| Full Name | One Family Illinois |
|---|---|
| Speciality | Foster Care Agency |
| Location | 17549 Village Ln, Lockport, Illinois |
| Authorized Official Name and Position | Gloria Marin Cockerill (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 8157407280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Family Illinois 216 W Jackson Blvd Ste 925 Chicago IL 60606-6996 Ph: (312) 372-8200 | One Family Illinois 17549 Village Ln Lockport IL 60441-7634 Ph: (815) 740-7280 |
| NPI Number | 1588977839 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588977839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | 198705 (Illinois) | Primary |
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