DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES

MEDICARE: NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1740019017
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Provider Business Mailing Address
First Line : 777 W ARMY TRAIL BLVD FL 2
Second Line :
City : ADDISON
State : IL
Zip : 60101-3163
Country : US
Telephone Number : 630-693-7934
Fax Number :
Provider Business Practice Location Address
First Line : 777 W ARMY TRAIL BLVD FL 2
Second Line :
City : ADDISON
State : IL
Zip : 60101-3163
Country : US
Telephone Number : 630-693-7934
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SHANNON HARTNETT
Credential :
Telephone Number : 630-903-6220
Provider Enumeration Date : 07/26/2024
Last Update Date : 03/05/2025

Similar Medicare Providers

1528997103 — BRITTANY JEANNE TAMASON LCSW
Practice Location Address:
777 W ARMY TRAIL BLVD
ADDISON, IL
60101-3163
Practice Phone: 630-693-7934
Practice Fax:
1710225487 — NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Practice Location Address:
777 W ARMY TRAIL BLVD FL 2
ADDISON, IL
60101-3163
Practice Phone: 630-693-7934
Practice Fax: 630-332-3574
1669127601 — MS. JESSICA PENDERGAST LSW
Practice Location Address:
777 W ARMY TRAIL BLVD FL 2
ADDISON, IL
60101-3163
Practice Phone: 630-693-7934
Practice Fax:
1720728819 — ELIZABETH FRANSSEN MSW, LSW
Practice Location Address:
777 W ARMY TRAIL BLVD
ADDISON, IL
60101-3163
Practice Phone: 630-693-7934
Practice Fax:
1811639529 — MISTY JAVAN LSW
Practice Location Address:
777 W ARMY TRAIL BLVD
ADDISON, IL
60101-3163
Practice Phone: 630-693-7934
Practice Fax:
1790598217 — SEAN HERBERT LCSW
Practice Location Address:
777 W ARMY TRAIL BLVD FL 2
ADDISON, IL
60101-3163
Practice Phone: 630-693-7934
Practice Fax:

Directions to “NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.