institution
Proviso Family Services
Mental Health Clinic/Center (Including Community Mental Health Center) in Oak Park, Illinois
NPI 1285880252

Proviso Family Services is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Broadview, IL and is specialized in Mental Health (Including Community Mental Health Center). Proviso Family Services practices in Oak Park, IL. The NPI Number for Proviso Family Services is 1285880252 and holds a License No. (Illinois).

The current practice location address for Proviso Family Services is 3 Erie Ct, Oak Park, IL and can be reached out via phone at 708-681-2324 and via fax at 708-345-5496. You can also correspond with Proviso Family Services through the mailing address at 1820 S 25TH AVE, BROADVIEW, IL - 60155-2864 (mailing address contact number: 708-338-3806).

Location: 3 Erie Ct, Oak Park, IL, 60155-2864
institution
Provider Profile Details
NPI Number
1285880252
Provider Name
Proviso Family Services
Credential
Provider Entity Type
Organization
Address
3 Erie Ct, Oak Park, IL, 60155-2864
Phone Number
708-681-2324
Fax Number
708-345-5496
Provider Enumeration Date
08/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616027 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
3 Erie Ct
City
State
Zip
60302-2519
Phone Number
708-681-2324
Fax Number
708-345-5496
person
Provider Business Mailing Address Details
Address
1820 S 25Th Ave
City
State
Zip
60155-2864
Phone Number
708-338-3806
Fax Number
708-681-1289
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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