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Notre Dame Family Centers, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) in Palos Park, IL. Organization (NPI-2).

NPI number1033636675
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1033636675
Entity type
Organization (NPI-2)
Legal business name
Notre Dame Family Centers, INC.
Organization subpart
No
Enumeration date
Aug 24, 2017
Last updated
Mar 17, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

12919 S 86th Ave
Palos Park, IL 60464-1818

Phone 505-204-8404

Mailing address

12919 S 86th Ave
Palos Park, IL 60464-1818

Phone 708-671-8199 · Fax 312-277-3544

Other practice locations

1s376 Summit Ave Ste 5d
Oakbrook Terrace, IL 60181-3968

Phone 630-691-1114 · Fax 630-691-1132

400 E Randolph St Apt 3230
Chicago, IL 60601-5060

Phone 312-861-0651 · Fax 312-277-3544

Authorized official

Michele Watzke Johnson
Chief Operating Officer
7086718199

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Palos Park, IL

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