Healthcare Provider Details
I. General information
NPI: 1770383861
Provider Name (Legal Business Name): METROPOLITAN FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK IL
60803-4517
US
IV. Provider business mailing address
101 N WACKER DR FL 17
CHICAGO IL
60606-7384
US
V. Phone/Fax
- Phone: 708-974-5800
- Fax:
- Phone: 312-986-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 276400000X |
| Taxonomy | Substance Use Disorder Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THERESA
C
NIHILL
Title or Position: COO
Credential: LCSW
Phone: 312-986-4040