MEDICARE: METROPOLITAN FAMILY SERVICES

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1619067	OTHER	IL	BCBS GROUP

General Provider Information

NPI Number	:	1992767032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN FAMILY SERVICES

Provider Business Mailing Address
First Line	:	101 N WACKER DR STE 1700
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-7384
Country	:	US
Telephone Number	:	312-986-4000
Fax Number	:	312-986-4334

Provider Business Practice Location Address
First Line	:	101 N WACKER DR STE 1700
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-7384
Country	:	US
Telephone Number	:	312-986-4000
Fax Number	:	312-986-4334

Authorized Official
Title or Position	:	COO
Name	:	THERESA C NIHILL
Credential	:
Telephone Number	:	312-986-4040

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	01/23/2023

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Directions to “METROPOLITAN FAMILY SERVICES ” Practice Location

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