Provider Demographics
NPI:1477682219
Name:JEWISH FAMILY & COMMUNITY SERVICE
Entity Type:Organization
Organization Name:JEWISH FAMILY & COMMUNITY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SITRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-357-4800
Mailing Address - Street 1:216 W JACKSON BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-6921
Mailing Address - Country:US
Mailing Address - Phone:312-357-4800
Mailing Address - Fax:
Practice Address - Street 1:216 W JACKSON BLVD STE 700
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6921
Practice Address - Country:US
Practice Address - Phone:312-357-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)