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NPI Code Detail

MEDICARE: FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS

MEDICARE: FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
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
1104100000XSocial Worker
2251S00000XCommunity/Behavioral Health Agency
31041C0700XClinical Social Worker

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1314780OTHERILMEDICARE NEW

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2101-19312OTHERILBCBS

General Provider Information

NPI Number : 1639241748
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Provider Business Mailing Address
First Line : 631 N LONGWOOD ST STE 103
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-4263
Country : US
Telephone Number : 815-962-5585
Fax Number : 815-962-8945
Provider Business Practice Location Address
First Line : 631 N LONGWOOD ST STE 103
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-4263
Country : US
Telephone Number : 815-962-5585
Fax Number : 815-962-8945
Authorized Official
Title or Position : CLIENT SERVICES MANAGER
Name : APRIL POGGIOLI
Credential :
Telephone Number : 815-962-5585
Provider Enumeration Date : 11/14/2006
Last Update Date : 03/24/2026

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Directions to “FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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