Healthcare Provider Details

I. General information

NPI: 1124233929
Provider Name (Legal Business Name): METROPOLITAN FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3062 E 91ST ST
CHICAGO IL
60617-4401
US

IV. Provider business mailing address

101 N WACKER DR STE 1700
CHICAGO IL
60606-7384
US

V. Phone/Fax

Practice location:
  • Phone: 773-371-2900
  • Fax: 773-371-2950
Mailing address:
  • Phone: 312-986-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateIL

VIII. Authorized Official

Name: THERESA C NIHILL
Title or Position: COO
Credential:
Phone: 312-986-4040