Healthcare Provider Details

I. General information

NPI: 1619907698
Provider Name (Legal Business Name): COUNCIL FOR JEWISH ELDERLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 W TOUHY AVE
CHICAGO IL
60645-2833
US

IV. Provider business mailing address

3003 W TOUHY AVE
CHICAGO IL
60645-2833
US

V. Phone/Fax

Practice location:
  • Phone: 773-508-1000
  • Fax: 773-508-1028
Mailing address:
  • Phone: 773-508-1000
  • Fax: 773-901-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STACEY LEE TURNER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 773-508-1000