| Kids Above All Illinois | |
|
415 Washington St Waukegan IL 60085-5564 | |
| (773) 832-7760 | |
| (847) 662-0663 |
| Full Name | Kids Above All Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 415 Washington St, Waukegan, Illinois |
| Authorized Official Name and Position | Jeri Lynn Laureano (COO) |
| Authorized Official Contact | 8472840430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Above All Illinois 8765 W Higgins Rd Ste 450 Chicago IL 60631-2794 Ph: (773) 693-0300 | Kids Above All Illinois 415 Washington St Waukegan IL 60085-5564 Ph: (773) 832-7760 |
| NPI Number | 1457836249 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457836249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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