Provider Demographics
NPI:1811190564
Name:KAIROS FAMILY CENTER, INC.
Entity Type:Organization
Organization Name:KAIROS FAMILY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-HELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-742-5717
Mailing Address - Street 1:240 STANDISH ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-6421
Mailing Address - Country:US
Mailing Address - Phone:847-742-5717
Mailing Address - Fax:847-742-8154
Practice Address - Street 1:240 STANDISH ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-6421
Practice Address - Country:US
Practice Address - Phone:847-742-5717
Practice Address - Fax:847-742-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health