Healthcare Provider Details

I. General information

NPI: 1437294246
Provider Name (Legal Business Name): YOUTH GUIDANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N. LA SALLE SUITE 900
CHICAGO IL
60602
US

IV. Provider business mailing address

1 N. LA SALLE SUITE 900
CHICAGO IL
60602
US

V. Phone/Fax

Practice location:
  • Phone: 312-253-4900
  • Fax: 312-253-4917
Mailing address:
  • Phone: 312-253-4900
  • Fax: 312-253-4917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MORRISON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 312-253-4900