Provider Demographics
NPI:1013238450
Name:METROPOLITAN FAMILY SERVICES
Entity Type:Organization
Organization Name:METROPOLITAN FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANTOSK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-974-5104
Mailing Address - Street 1:1 N DEARBORN ST
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4331
Mailing Address - Country:US
Mailing Address - Phone:312-986-4000
Mailing Address - Fax:
Practice Address - Street 1:600 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6656
Practice Address - Country:US
Practice Address - Phone:630-784-4801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN FAMILY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health