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NPI Code Detail

MEDICARE: FAMILY FOCUS INC.

MEDICARE: FAMILY FOCUS INC.
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851855969
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY FOCUS INC.
Provider Business Mailing Address
First Line : 310 S PEORIA ST STE 301
Second Line :
City : CHICAGO
State : IL
Zip : 60607-3534
Country : US
Telephone Number : 312-421-5200
Fax Number :
Provider Business Practice Location Address
First Line : 3517 W ARTHINGTON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-4165
Country : US
Telephone Number : 773-722-5057
Fax Number :
Authorized Official
Title or Position : CLINICAL SUPERVISOR
Name : CARLETTE S SCOTT
Credential : LCPC
Telephone Number : 733-960-0366
Provider Enumeration Date : 01/23/2019
Last Update Date : 01/23/2019

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