Healthcare Provider Details
I. General information
NPI: 1427018209
Provider Name (Legal Business Name): JEWISH CHILD AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2006
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
230 W MONROE ST STE 1100
CHICAGO IL
60606-4703
US
IV. Provider business mailing address
230 W MONROE ST STE 1100
CHICAGO IL
60606-5170
US
V. Phone/Fax
- Phone: 312-357-4800
- Fax: 312-855-3750
- Phone: 312-357-4800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VINCENT
EVERSON
Title or Position: CFO
Credential:
Phone: 312-673-2714