Provider Demographics
NPI:1568006831
Name:FELIX FOUNDATION
Entity Type:Organization
Organization Name:FELIX FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALKELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-986-2171
Mailing Address - Street 1:13901 S LYDIA AVE
Mailing Address - Street 2:
Mailing Address - City:ROBBINS
Mailing Address - State:IL
Mailing Address - Zip Code:60472-2215
Mailing Address - Country:US
Mailing Address - Phone:708-986-2171
Mailing Address - Fax:
Practice Address - Street 1:9604 MENARD AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2836
Practice Address - Country:US
Practice Address - Phone:708-986-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)