Mano a Mano Family Resource Center Foundation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MANO A MANO FAMILY RESOURCE CENTER FOUNDATION

Practice address

6 E Main St
Round Lake Park, IL 60073-3602

Phone

(847) 201-1521

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carolina Duque

Title

Executive Director

Phone

(847) 201-1521

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1285808683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "ROUND LAKE PARK",
            "state": "IL",
            "postal_code": "600733602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "ROUND LAKE PARK",
            "state": "IL",
            "postal_code": "600733602",
            "telephone_number": "847-201-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANO A MANO FAMILY RESOURCE CENTER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-201-1521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Lake (Lake County Health Department and Community Health Center)
• County of Lake (Lake County Health Department and Community Health Center)
• Hannah L Eugene, OTD, OTR/L
• Vitina Marie Jurkacek, LCSW
• Brittany Kessel
• Magdalena McElroy, LCSW
• Kelsey Morozin
• Hannah Oluwatosin Oyebanji I
• Julie Anne Tevenan, LSW
• Andres Vega Pacheco

• Case Management Agency in Round Lake Park, IL
• Providers in Round Lake Park, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.