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NPI Code Detail

MEDICARE: COUNCIL FOR JEWISH ELDERLY

MEDICARE: COUNCIL FOR JEWISH ELDERLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyIL
21041C0700XClinical Social Worker
3251S00000XCommunity/Behavioral Health AgencyIL
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1619907698
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNCIL FOR JEWISH ELDERLY
Provider Business Mailing Address
First Line : 3003 W TOUHY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-2833
Country : US
Telephone Number : 773-508-1000
Fax Number : 773-901-2410
Provider Business Practice Location Address
First Line : 3033 W TOUHY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-2833
Country : US
Telephone Number : 773-508-1000
Fax Number : 773-508-1028
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : STACEY LEE TURNER
Credential :
Telephone Number : 773-508-1000
Provider Enumeration Date : 07/04/2006
Last Update Date : 12/09/2025

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Directions to “COUNCIL FOR JEWISH ELDERLY ” Practice Location

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