Healthcare Provider Details

I. General information

NPI: 1265812192
Provider Name (Legal Business Name): FAMILY SOLUTIONS OF ILLINOIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W CHICAGO AVE STE 200
CHICAGO IL
60654-5600
US

IV. Provider business mailing address

11635 NORTHPARK DR STE 320
WAKE FOREST NC
27587-6525
US

V. Phone/Fax

Practice location:
  • Phone: 872-777-8110
  • Fax: 872-777-8109
Mailing address:
  • Phone: 919-263-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number16006
License Number StateIL

VIII. Authorized Official

Name: TIFFANY JANEE HOPKINS
Title or Position: COO
Credential:
Phone: 919-263-9293