Healthcare Provider Details

I. General information

NPI: 1184550790
Provider Name (Legal Business Name): METROPOLITAN FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 W MORSE AVE
CHICAGO IL
60626-3309
US

IV. Provider business mailing address

1628 W MORSE AVE
CHICAGO IL
60626-3309
US

V. Phone/Fax

Practice location:
  • Phone: 708-974-5147
  • Fax:
Mailing address:
  • Phone: 708-974-5147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ABRIANNA CUMMINGS
Title or Position: BH CREDENTIALING & CONTRACTS
Credential:
Phone: 773-520-1370