Healthcare Provider Details

I. General information

NPI: 1346455151
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: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 DAVIS ST SUITE # 218
EVANSTON IL
60201-4431
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 847-328-2404
  • Fax: 847-328-1295
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