Proviso Family Services
NPI #1588810550 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1588810550
- Entity Type
- Organization
- Organization Name
- Proviso Family Services
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 11, 2008
- Last Updated
- Aug 11, 2008
Practice Location
- Address
- 100 N RIVER RD
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-1209
- Phone
- (708) 338-3806
Authorized Official
- Name
- MRS. KRISTIN KAMISKI
- Title
- MANAGER, GENERAL ACCOUNTING
- Phone
- (708) 338-3806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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