Grand Prairie Services in Flossmoor - Mental Health (including Community Mental Health Center)
Grand Prairie Services - NPI 1447212543
Grand Prairie Services is a Mental Health (including Community Mental Health Center) in Flossmoor, Illinois. Grand Prairie Services practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Grand Prairie Services is 1447212543. The last update date is 2023-11-20.
Grand Prairie Services's current location address is 19530 Kedzie Avenue, Flossmoor, Illinois. You can contact this provider via phone number 7087992200 and fax number 7087992711. The mailing address for Grand Prairie Services is 19530 Kedzie Avenue, Flossmoor, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Prairie Services |
|---|---|
| Address | 19530 Kedzie Avenue, Flossmoor, Illinois |
| Phone Number | 7087992200 |
| Fax Number | 7087992711 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ward Sharronne |
| Telephone Number | 7084441012 |
NPI Number Detail
| NPI Number | 1447212543 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
| Address | 19530 Kedzie Avenue |
|---|---|
| City | Flossmoor |
| State | Illinois (IL) |
| Post Code | 60422 |
| Phone Number | 7087992200 |
| Fax Number | 7087992711 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
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Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Post Comment/ Review Below
What is the Grand Prairie Services's unique identification number?
The Grand Prairie Services has been assigned the NPI (National Provider Identifier) Number 1447212543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Grand Prairie Services's physical address?
The Grand Prairie Services is physically located at 19530 Kedzie Avenue, in the city of Flossmoor, IL, with the postal code 60422.
What is the area of specialization for Grand Prairie Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grand Prairie Services is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447212543 to Grand Prairie Services?
The Centers for Medicare & Medicaid Services assigned the 1447212543 to Grand Prairie Services on 2006-04-04.
As of what date were the details pertaining to Grand Prairie Services last refreshed?
The information related to the Grand Prairie Services, including its address, specialty, and other relevant details, was last updated on 2023-11-20.