Healthcare Provider Details

I. General information

NPI: 1144931023
Provider Name (Legal Business Name): OUTREACH YORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S450 SUMMIT AVE STE 315
OAKBROOK TERRACE IL
60181-3990
US

IV. Provider business mailing address

373 S SCHMALE RD
CAROL STREAM IL
60188-2774
US

V. Phone/Fax

Practice location:
  • Phone: 630-682-1910
  • Fax:
Mailing address:
  • Phone: 630-682-1910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FEI YEE
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential: LMFT
Phone: 630-315-3050