Provider Demographics
NPI:1255668117
Name:REM GROUP FAMILY & ASSOCIATES LTD
Entity Type:Organization
Organization Name:REM GROUP FAMILY & ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTROWER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-274-5104
Mailing Address - Street 1:3330 DUNDEE RD
Mailing Address - Street 2:N 3
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2318
Mailing Address - Country:US
Mailing Address - Phone:847-274-5104
Mailing Address - Fax:847-808-7191
Practice Address - Street 1:3330 DUNDEE RD
Practice Address - Street 2:N 3
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2318
Practice Address - Country:US
Practice Address - Phone:847-274-5104
Practice Address - Fax:847-808-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490029151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
11374584OtherCAQH