Healthcare Provider Details

I. General information

NPI: 1700796133
Provider Name (Legal Business Name): JEWISH CHILD AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 CENTRAL AVE STE 400
HIGHLAND PARK IL
60035-5638
US

IV. Provider business mailing address

230 W MONROE ST STE 1100
CHICAGO IL
60606-5170
US

V. Phone/Fax

Practice location:
  • Phone: 312-357-4800
  • Fax:
Mailing address:
  • Phone:
  • 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 StateNULL

VIII. Authorized Official

Name: ALLISON LEIST
Title or Position: INSURANCE MANAGER
Credential:
Phone: 847-412-4387