The Youth Campus

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

015787-10 Issued in IL

Legal business name

THE YOUTH CAMPUS

Practice address

733 N Prospect Ave
Park Ridge, IL 60068-2764

Phone

(847) 823-5161

Fax

(847) 823-9291

NPI assigned

Apr 6, 2006

Last updated

Aug 22, 2020By 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

Mr. Joseph F Loftus

Title

President & Ceo

Phone

(847) 823-5161

Specialties & licenses 1

Addresses

Tax ID family

The Youth Campus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Youth Campus

  • Foster Care Agency
  • Chicago, IL
  • NPI 1497073241
  NPD tax ID

Locations

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801858444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682764",
            "telephone_number": "847-823-5161",
            "fax_number": "847-823-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682764",
            "telephone_number": "847-823-5161",
            "fax_number": "847-823-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUTH CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "847-823-5161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "015787-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Perissos Center
• The Spine Center, S.C
• Patricia Theel
• Thekey of Illinois, LLC
• Thekey of Illinois, LLC
• Anne Marie Thibault, MOT, OTR/L
• James L Thill, D.C.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.