NPI 1396009445

Lawrence Hall Youth Services

Organisation Foster Care Agency Chicago, IL

Practice location

Address: 8117 S Essex Ave, Chicago, IL 60617-1225
Phone: (773) 728-2807
Mailing address: 2737 W Peterson Ave, Chicago, IL 60659-3927

Authorised official

Name: Mark Nufer
Title: Chief Financial Officer
Phone: (773) 728-2807

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 12057809 (IL)

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Registry record

NPI: 1396009445
Entity type: Organization
NPI issued: 3 Jul 2012
Record last updated: 3 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.