Healthcare Provider Details
I. General information
NPI: 1023283587
Provider Name (Legal Business Name): METROPOLITAN FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10537 S ROBERTS RD
PALOS HILLS IL
60465-1933
US
IV. Provider business mailing address
10537 S ROBERTS RD
PALOS HILLS IL
60465-1933
US
V. Phone/Fax
- Phone: 708-974-2300
- Fax: 708-974-2498
- Phone: 708-974-2300
- Fax: 708-974-2498
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DENIS
H
HURLEY
Title or Position: CEO
Credential:
Phone: 312-986-4193