Active NPI
Jewish Child & Family Services
- Community/Behavioral Health Agency
- Northbrook, IL
National Provider Identifier
1497178909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JEWISH CHILD & FAMILY SERVICES
- Practice address
- 255 Revere Dr
Northbrook, IL 60062-1564 - Phone
- (847) 412-4331
- NPI assigned
- Feb 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Matt
- Title
- Accounts Recieverable
- Phone
- (312) 673-2703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
255 Revere Dr
Northbrook, IL 60062-1564
Mailing address
425 W Surf St
Apt 115
Chicago, IL 60657-6450
Phone (314) 620-8181
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1497178909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W SURF ST",
"address_2": "APT 115",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576450",
"telephone_number": "314-620-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 REVERE DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621564",
"telephone_number": "847-412-4331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH CHILD & FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "MATT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ACCOUNTS RECIEVERABLE",
"authorized_official_telephone_number": "312-673-2703"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.